Andresen, Kelli Jo

Andresen, Kelli Jo is an individual health care provider with primary practice located at 4401 Wornall Rd Radiology Dept, Kansas City MO 64111-3220. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Andresen, Kelli Jo can be contacted via phone (816) 932-2000.

Contact Information

Primary practice address
4401 Wornall Rd Radiology Dept Kansas City MO 64111-3220
Phone: (816) 932-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 36297 Iowa
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2008002389 Missouri

Profile Details

NPI number 1073597514
LBN Legal business name Andresen, Kelli Jo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Dec 1st, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073597514 NPPES
Missouri MEDICAID 1073597514
Missouri Other 37843017
Missouri Other 37843027
Missouri MEDICAID 200564680A
Missouri Other 39890
Missouri Other P00475714
Missouri MEDICAID 0472795

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