Ely, Andrea M

Ely, Andrea M is an individual health care provider with primary practice located at 5675 Roe Blvd Ste 100, Roeland Park KS 66205-2538. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Ely, Andrea M can be contacted via phone (913) 432-2080.

Contact Information

Primary practice address
5675 Roe Blvd Ste 100 Roeland Park KS 66205-2538
Phone: (913) 432-2080
Fax: (913) 432-5183
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 04-30234 Kansas
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 0430234 Kansas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 04-30234 Kansas

Profile Details

NPI number 1184734816
LBN Legal business name Ely, Andrea M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jun 5th, 2023 - about last year

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 1184734816 NPPES
Missouri Other 32859026 BCBS KANSAS CITY
Missouri Other 520670 BCBS KANSAS CITY
Missouri MEDICAID 100641200A BCBS KANSAS CITY
Missouri MEDICAID 209123108 BCBS KANSAS CITY

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