Healthcare Provider Details

I. General information

NPI: 1841119112
Provider Name (Legal Business Name): MADISON LEIGH WEST RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3825 CAMBRIDGE ST
KANSAS CITY KS
66103-2271
US

IV. Provider business mailing address

2219 W 39TH AVE APT 1E
KANSAS CITY KS
66103-2952
US

V. Phone/Fax

Practice location:
  • Phone: 913-588-1227
  • Fax:
Mailing address:
  • Phone: 913-314-3090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number13-169039-072
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: