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