Provider Demographics
NPI:1831740919
Name:ATKINSON, REBECCA VON
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:VON
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1920 S VIKING CT
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64057-2059
Mailing Address - Country:US
Mailing Address - Phone:816-389-7256
Mailing Address - Fax:816-503-9851
Practice Address - Street 1:1920 S VIKING CT
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64057-2059
Practice Address - Country:US
Practice Address - Phone:816-389-7256
Practice Address - Fax:816-503-9851
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-20
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider