Provider Demographics
NPI:1205892627
Name:HUSMANN, KATHRIN (MD)
Entity type:Individual
Prefix:
First Name:KATHRIN
Middle Name:
Last Name:HUSMANN
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 1:3901 RAINBOW BLVD
Mailing Address - Street 2:DEPT. OF NEUROLOGY
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160-0001
Mailing Address - Country:US
Mailing Address - Phone:913-588-6970
Mailing Address - Fax:913-588-1811
Practice Address - Street 1:3901 RAINBOW BLVD
Practice Address - Street 2:DEPT. OF NEUROLOGY
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-0001
Practice Address - Country:US
Practice Address - Phone:913-588-6970
Practice Address - Fax:913-588-1811
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2008-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20070062912084N0400X
KS04323642084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO204590103Medicaid
37920014OtherBCBS
KS200460650AMedicaid
C99F351AMedicare PIN
KS200460650AMedicaid
C99F351Medicare PIN
37920014OtherBCBS