Provider Demographics
NPI:1598769291
Name:ORR, MICHELLE L (MD)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:L
Last Name:ORR
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Gender:F
Credentials:MD
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Mailing Address - Street 1:9411 N OAK TRFY
Mailing Address - Street 2:SUITE 205
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64155-2233
Mailing Address - Country:US
Mailing Address - Phone:816-691-3546
Mailing Address - Fax:816-346-7474
Practice Address - Street 1:9411 N OAK TRFY
Practice Address - Street 2:SUITE 205
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64155-2233
Practice Address - Country:US
Practice Address - Phone:816-691-3546
Practice Address - Fax:816-346-7474
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-09
Last Update Date:2016-03-21
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Provider Licenses
StateLicense IDTaxonomies
MO109247207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOG14898Medicare UPIN
MOE69000015Medicare UPIN