Provider Demographics
NPI:1679503528
Name:NORTH, KAY LYNN (DO)
Entity Type:Individual
Prefix:
First Name:KAY
Middle Name:LYNN
Last Name:NORTH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:KAY
Other - Middle Name:LYNN
Other - Last Name:PARVI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2401 GILLHAM ROAD
Mailing Address - Street 2:DEPT OF RADIOLOGY
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108
Mailing Address - Country:US
Mailing Address - Phone:816-234-3273
Mailing Address - Fax:816-983-6912
Practice Address - Street 1:2401 GILLHAM RD
Practice Address - Street 2:DEPT OF RADIOLOGY
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-4619
Practice Address - Country:US
Practice Address - Phone:816-234-3273
Practice Address - Fax:816-983-6912
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2009-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20080137612085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology