Healthcare Provider Details

I. General information

NPI: 1750487062
Provider Name (Legal Business Name): REGINALD W DUSING M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 RAINBOW BLVD MAIL STOP 4032
KANSAS CITY KS
66160-0001
US

IV. Provider business mailing address

3901 RAINBOW BLVD 4070 DELP MAIL STOP 4017
KANSAS CITY KS
66160-0001
US

V. Phone/Fax

Practice location:
  • Phone: 913-588-6800
  • Fax: 913-588-7899
Mailing address:
  • Phone: 913-588-6800
  • Fax: 913-588-7899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207U00000X
TaxonomyNuclear Medicine Physician
License Number04-24130
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number04-24130
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: