MEDICARE: GENET AMINE WELDAY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)		MO

General Provider Information

NPI Number	:	1093531386
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GENET AMINE WELDAY

Provider Business Mailing Address
First Line	:	4721 N HIGHLAND AVE APT 5
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64116-2062
Country	:	US
Telephone Number	:	720-707-7507
Fax Number	:

Provider Business Practice Location Address
First Line	:	4721 N HIGHLAND AVE APT 5
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64116-2062
Country	:	US
Telephone Number	:	720-707-7507
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2024
Last Update Date	:	12/02/2024

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Directions to “ GENET AMINE WELDAY ” Practice Location

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