Provider Demographics
NPI:1932273737
Name:KANSAS CITY NEUROLOGY ASSOCIATES LLC
Entity Type:Organization
Organization Name:KANSAS CITY NEUROLOGY ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:J
Authorized Official - Last Name:KUENY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-508-4090
Mailing Address - Street 1:2000 SE BLUE PKWY
Mailing Address - Street 2:SUITE 270-A
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64063-1018
Mailing Address - Country:US
Mailing Address - Phone:816-524-1700
Mailing Address - Fax:816-524-1794
Practice Address - Street 1:2000 SE BLUE PKWY
Practice Address - Street 2:SUITE 270-A
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64063-1018
Practice Address - Country:US
Practice Address - Phone:816-524-1700
Practice Address - Fax:816-524-1794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2009-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO502570609Medicaid
MO1932273737Medicaid
KS200532770 AMedicaid
MOX110000Medicare PIN
KS200532770 AMedicaid
MO1932273737Medicaid