Provider Demographics
NPI:1659307072
Name:NORTHLAND WOMEN'S HEALTH CARE, P.C.
Entity Type:Organization
Organization Name:NORTHLAND WOMEN'S HEALTH CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:K
Authorized Official - Last Name:DRISKELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:816-741-9122
Mailing Address - Street 1:8600 NE 82ND ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64158-1430
Mailing Address - Country:US
Mailing Address - Phone:816-741-9122
Mailing Address - Fax:816-741-9665
Practice Address - Street 1:8600 NE 82ND ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64158-1430
Practice Address - Country:US
Practice Address - Phone:816-741-9122
Practice Address - Fax:816-741-9665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-25
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2890000Medicare ID - Type UnspecifiedMEDICARE PROVIDER#