Provider Demographics
NPI:1518769751
Name:MAGATHAN, LIAM PATRICK (MD)
Entity type:Individual
Prefix:
First Name:LIAM
Middle Name:PATRICK
Last Name:MAGATHAN
Suffix:
Gender:M
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:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160-8500
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3901 RAINBOW BLVD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-3124
Practice Address - Country:US
Practice Address - Phone:913-588-6412
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-26
Last Update Date:2025-06-10
Deactivation Date:2025-04-07
Deactivation Code:
Reactivation Date:2025-05-06
Provider Licenses
StateLicense IDTaxonomies
KS94-122412084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry