Healthcare Provider Details

I. General information

NPI: 1669001327
Provider Name (Legal Business Name): VICTORIA ALEJANDRA RESENDEZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/05/2020
Last Update Date: 07/15/2024
Certification Date: 06/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 OLATHE BLVS
KANSAS CITY KS
66160-0001
US

IV. Provider business mailing address

2000 OLATHE
KANSAS CITY KS
66160-0001
US

V. Phone/Fax

Practice location:
  • Phone: 913-588-5000
  • Fax:
Mailing address:
  • Phone: 913-588-1908
  • Fax: 913-588-8387

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number04-49533
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: