Provider Demographics
NPI:1851883375
Name:COMBS, TEDDI CHRISTINE (RN)
Entity Type:Individual
Prefix:
First Name:TEDDI
Middle Name:CHRISTINE
Last Name:COMBS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10314 N DITMAN AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64157-1015
Mailing Address - Country:US
Mailing Address - Phone:816-226-0245
Mailing Address - Fax:
Practice Address - Street 1:2800 ROCK CREEK PKWY
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64117-2521
Practice Address - Country:US
Practice Address - Phone:816-226-0245
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-31
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV95094163WC0400X
PARN694127163WC0400X
MO2010042167163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management