Healthcare Provider Details

I. General information

NPI: 1003201690
Provider Name (Legal Business Name): CARA MONIQUE KATZER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2015
Last Update Date: 04/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DEPARTMENT OF OTOLARYNGOLOGY 3901 RAINBOW BOULEVARD MS 301
KANSAS CITY KS
66160-0001
US

IV. Provider business mailing address

DEPARTMENT OF OTOLARYNGOLOGY 3901 RAINBOW BOULEVARD MS 301
KANSAS CITY KS
66160-0001
US

V. Phone/Fax

Practice location:
  • Phone: 913-588-6739
  • Fax: 913-588-4676
Mailing address:
  • Phone: 913-588-6739
  • Fax: 913-588-4676

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: