Tieves, Kelly S

Tieves, Kelly S is an individual health care provider with primary practice located at 2401 Gillham Rd Children'S Mercy Hospital, Kansas City MO 64108-4619. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as her primary health care specialty. Tieves, Kelly S can be contacted via phone (816) 234-3041.

Contact Information

Primary practice address
2401 Gillham Rd Children'S Mercy Hospital Kansas City MO 64108-4619
Phone: (816) 234-3041
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 2006034491 Missouri
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 05-32228 Kansas

Profile Details

NPI number 1598716243
LBN Legal business name Tieves, Kelly S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Mar 4th, 2015 - about 10 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 1598716243 NPPES
Wisconsin MEDICAID 32542500
Wisconsin Other 004000215J

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