Provider Demographics
NPI:1760606149
Name:SORBIN, KORTNEE LANNING (MD)
Entity Type:Individual
Prefix:
First Name:KORTNEE
Middle Name:LANNING
Last Name:SORBIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KORTNEE
Other - Middle Name:BRIE
Other - Last Name:LANNING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:10301 HICKMAN MILLS DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64137-1674
Mailing Address - Country:US
Mailing Address - Phone:816-763-5446
Mailing Address - Fax:816-763-8426
Practice Address - Street 1:5721 W 119TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66209-3722
Practice Address - Country:US
Practice Address - Phone:816-763-5446
Practice Address - Fax:816-763-8426
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2015-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010037966207L00000X
KS0432501207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200430340BMedicaid
MO207552209Medicaid
MO207552209Medicaid