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:
Health care specialties
Specialty | Code | License # | 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 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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