Provider Demographics
NPI:1760893184
Name:DAILEY, ERICA TURSE (DO)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:TURSE
Last Name:DAILEY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:PATRICIA
Other - Last Name:TURSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:5100 W 110TH ST STE 120
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1215
Mailing Address - Country:US
Mailing Address - Phone:913-234-7600
Mailing Address - Fax:816-361-5775
Practice Address - Street 1:5100 W 110TH ST STE 120
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1215
Practice Address - Country:US
Practice Address - Phone:913-234-7600
Practice Address - Fax:816-361-5775
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-20
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0544127207RG0100X
MO2017014182207RG0100X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology