MEDICARE: DR. EMILY KATHERINE HANDLEY DDS

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	122300000X	Dentist	2008017388	MO

General Provider Information

NPI Number	:	1538322938
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMILY KATHERINE HANDLEY DDS

Provider Business Mailing Address
First Line	:	819 WALNUT ST
Second Line	:	SUITE 101
City	:	KANSAS CITY
State	:	MO
Zip	:	64106-1810
Country	:	US
Telephone Number	:	816-421-6065
Fax Number	:

Provider Business Practice Location Address
First Line	:	819 WALNUT ST
Second Line	:	SUITE 101
City	:	KANSAS CITY
State	:	MO
Zip	:	64106-1810
Country	:	US
Telephone Number	:	816-421-6065
Fax Number	:

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

Provider Enumeration Date	:	07/07/2008
Last Update Date	:	07/07/2008

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