Provider Demographics
NPI:1740261502
Name:EDWARDS, GEORGE A (MD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:A
Last Name:EDWARDS
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 1:10301 HICKMAN MILLS DR
Mailing Address - Street 2:#100
Mailing Address - City:KANSAS CITY
Mailing Address - State:MS
Mailing Address - Zip Code:64131
Mailing Address - Country:US
Mailing Address - Phone:816-767-3263
Mailing Address - Fax:
Practice Address - Street 1:4911 S ARROWHEAD DR
Practice Address - Street 2:#300
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055
Practice Address - Country:US
Practice Address - Phone:816-767-3263
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2008-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOMDR9D67207LP2900X
KS04-19992207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100205740AMedicaid
MO202054912Medicaid
KS100205740AMedicaid
MO202054912Medicaid