Healthcare Provider Details

I. General information

NPI: 1376675678
Provider Name (Legal Business Name): RONALD K FIELDS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7450 KESSLER ST STE 205
MERRIAM KS
66204-2553
US

IV. Provider business mailing address

7450 KESSLER ST STE 205
MERRIAM KS
66204-2553
US

V. Phone/Fax

Practice location:
  • Phone: 913-632-9810
  • Fax: 913-632-9828
Mailing address:
  • Phone: 913-632-9810
  • Fax: 913-632-9828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084E0001X
TaxonomyEpilepsy Physician
License Number2007010563
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code2084E0001X
TaxonomyEpilepsy Physician
License Number0432345
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number2007010563
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: