Provider Demographics
NPI:1912005885
Name:CONNOR, CAROL S (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:S
Last Name:CONNOR
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Gender:F
Credentials:MD
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Mailing Address - Street 1:3901 RAINBOW BLVD
Mailing Address - Street 2:4070 DELP MAIL STOP 4017
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160-0001
Mailing Address - Country:US
Mailing Address - Phone:913-588-6150
Mailing Address - Fax:913-588-7540
Practice Address - Street 1:3901 RAINBOW BLVD
Practice Address - Street 2:DEPT. OF SURGERY, MAIL STOP 1037
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-0001
Practice Address - Country:US
Practice Address - Phone:913-588-6150
Practice Address - Fax:913-588-7540
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS04-20259208600000X, 2086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered208600000XAllopathic & Osteopathic PhysiciansSurgery
Not Answered2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS664970OtherFIRSTGUARD
MO25414012OtherBCBS KANSAS CITY
0098460AMedicare ID - Type Unspecified
MO25414012OtherBCBS KANSAS CITY