Provider Demographics
NPI: | 1750093886 |
---|---|
Name: | METRO KC ANESTHESIOLOGY ASSOCIATES PA |
Entity type: | Organization |
Organization Name: | METRO KC ANESTHESIOLOGY ASSOCIATES PA |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRACTICE ADMINISTRATOR |
Authorized Official - Prefix: | |
Authorized Official - First Name: | CHRISTY |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | LENARDSON |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 913-339-9437 |
Mailing Address - Street 1: | 10995 QUIVIRA RD STE 300 |
Mailing Address - Street 2: | |
Mailing Address - City: | OVERLAND PARK |
Mailing Address - State: | KS |
Mailing Address - Zip Code: | 66210-1207 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 913-339-9437 |
Mailing Address - Fax: | 913-339-9538 |
Practice Address - Street 1: | 10995 QUIVIRA RD STE 300 |
Practice Address - Street 2: | |
Practice Address - City: | OVERLAND PARK |
Practice Address - State: | KS |
Practice Address - Zip Code: | 66210-1207 |
Practice Address - Country: | US |
Practice Address - Phone: | 913-339-9437 |
Practice Address - Fax: | 913-339-9538 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2022-12-20 |
Last Update Date: | 2022-12-20 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology | Group - Multi-Specialty |