Healthcare Provider Details
I. General information
NPI: 1821918905
Provider Name (Legal Business Name): KANSAS CITY ONCOLOGY AND HEMATOLOGY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12140 NALL AVE STE 200
OVERLAND PARK KS
66209-2507
US
IV. Provider business mailing address
322 22ND AVE N STE 500
NASHVILLE TN
37203-1837
US
V. Phone/Fax
- Phone: 469-231-6417
- Fax:
- Phone: 469-231-6417
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RH0003X |
| Taxonomy | Hematology & Oncology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
LIA
HOOD
Title or Position: DIRECTOR OF CREDENTIALING
Credential:
Phone: 469-231-6417