Provider Demographics
NPI:1609065853
Name:SOLSKY, MARILYN A (MD)
Entity Type:Individual
Prefix:DR
First Name:MARILYN
Middle Name:A
Last Name:SOLSKY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 11223
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66207-1223
Mailing Address - Country:US
Mailing Address - Phone:913-282-1812
Mailing Address - Fax:310-551-0609
Practice Address - Street 1:10010 E TRUMAN RD
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64052-2160
Practice Address - Country:US
Practice Address - Phone:816-252-7800
Practice Address - Fax:310-551-0609
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-23
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC42552207RR0500X
MO2016007161207RR0500X
KS0439616207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00126090OtherRAILROAD MEDICARE
B46239Medicare UPIN