Healthcare Provider Details

I. General information

NPI: 1841432150
Provider Name (Legal Business Name): EMILY S WORTHINGTON D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY S BEST

II. Dates (important events)

Enumeration Date: 04/01/2009
Last Update Date: 04/29/2024
Certification Date: 04/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9100 PARK ST STE 100
LENEXA KS
66215-3353
US

IV. Provider business mailing address

5750 JOHNSTON ST STE 205
LAFAYETTE LA
70503-5334
US

V. Phone/Fax

Practice location:
  • Phone: 877-279-5960
  • Fax:
Mailing address:
  • Phone: 337-991-9276
  • Fax: 337-943-0846

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number05-35310
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2009001432
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number2009001432
License Number StateMO
# 4
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number53-35310
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: