Provider Demographics
NPI:1669487278
Name:MADIGAN, STEVEN KEVIN (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:KEVIN
Last Name:MADIGAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9705 LENEXA DR
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66215-1345
Mailing Address - Country:US
Mailing Address - Phone:816-241-3338
Mailing Address - Fax:816-936-8118
Practice Address - Street 1:9705 LENEXA DR
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215-1345
Practice Address - Country:US
Practice Address - Phone:816-241-3338
Practice Address - Fax:816-936-8118
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001004445207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO205219405Medicaid
MO205219405Medicaid
MO363013268Medicare ID - Type UnspecifiedMDCR #(GRP. 000013268)
MOE57868Medicare UPIN