Provider Demographics
NPI:1609829233
Name:CAHILL, ALISA B (MD)
Entity Type:Individual
Prefix:
First Name:ALISA
Middle Name:B
Last Name:CAHILL
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 1:8708 WEST 135TH
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66221
Mailing Address - Country:US
Mailing Address - Phone:913-851-9800
Mailing Address - Fax:913-851-9888
Practice Address - Street 1:8708 WEST 135TH
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66221
Practice Address - Country:US
Practice Address - Phone:913-851-9800
Practice Address - Fax:913-851-9888
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2011-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0429172207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100400050AMedicaid
KS100400050AMedicaid
KS033A861DMedicare ID - Type Unspecified