Healthcare Provider Details

I. General information

NPI: 1457341471
Provider Name (Legal Business Name): DEBRA L COLLINS M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/21/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 RAINBOW BLVD 4023 WESCOE PAVILION
KANSAS CITY KS
66160-0001
US

IV. Provider business mailing address

3901 RAINBOW BLVD 4023 WESCOE PAVILION
KANSAS CITY KS
66160-0001
US

V. Phone/Fax

Practice location:
  • Phone: 913-588-6022
  • Fax: 913-588-4060
Mailing address:
  • Phone: 913-588-6022
  • Fax: 913-588-4060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: