MEDICARE: DR. DANIEL D WEED M.D.

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	207X00000X	Orthopaedic Surgery Physician	R6G15	MO

General Provider Information

NPI Number	:	1831167881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL D WEED M.D.

Provider Business Mailing Address
First Line	:	901 E 104TH ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64131-4517
Country	:	US
Telephone Number	:	816-502-8755
Fax Number	:	816-932-7957

Provider Business Practice Location Address
First Line	:	5844 NW BARRY RD STE 320
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64154-1421
Country	:	US
Telephone Number	:	816-468-8632
Fax Number	:	816-468-7722

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

Provider Enumeration Date	:	03/08/2006
Last Update Date	:	10/27/2023

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