Provider Demographics
NPI:1205808730
Name:DOWNEY, JULIE ANN (MD)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:ANN
Last Name:DOWNEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 QUIK TRIP WAY
Mailing Address - Street 2:
Mailing Address - City:BELTON
Mailing Address - State:MO
Mailing Address - Zip Code:64012
Mailing Address - Country:US
Mailing Address - Phone:816-425-3845
Mailing Address - Fax:816-331-0805
Practice Address - Street 1:820 QUIK TRIP WAY
Practice Address - Street 2:
Practice Address - City:BELTON
Practice Address - State:MO
Practice Address - Zip Code:64012
Practice Address - Country:US
Practice Address - Phone:816-425-3845
Practice Address - Fax:816-331-0805
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009003223207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100342490CMedicaid
KS102594Medicare ID - Type Unspecified
KS100342490CMedicaid