Carlson, Tina Y

Carlson, Tina Y is an individual health care provider with primary practice located at 6420 Prospect Ave Suite T411, Kansas City MO 64132-4147. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Carlson, Tina Y can be contacted via phone (816) 363-2500.

Contact Information

Primary practice address
6420 Prospect Ave Suite T411 Kansas City MO 64132-4147
Phone: (816) 363-2500
Fax: (816) 363-8741
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 15-00920 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2004006980 Missouri

Profile Details

NPI number 1457323735
LBN Legal business name Carlson, Tina Y
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Feb 9th, 2022 - about 3 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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