Whitesides, Corey Michael
Whitesides, Corey Michael is an individual health care provider with primary practice located at 2790 Clay Edwards Dr Ste 600, Kansas City MO 64116-3276. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Whitesides, Corey Michael can be contacted via phone (816) 561-3003.Contact Information
Primary practice address
2790 Clay Edwards Dr Ste 600
Kansas City MO 64116-3276
Phone: (816) 561-3003
Fax: (816) 889-1584
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 2013013231 | Missouri |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 2013013231 | Missouri |
Profile Details
NPI number | 1689019614 |
---|---|
LBN Legal business name | Whitesides, Corey Michael |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 3rd, 2013 |
Last updated | May 3rd, 2013 - about 12 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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