Healthcare Provider Details

I. General information

NPI: 1407813298
Provider Name (Legal Business Name): JAMES E. HULSE III MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2006
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10500 QUIVIRA RD
OVERLAND PARK KS
66215-2306
US

IV. Provider business mailing address

10500 QUIVIRA RD
OVERLAND PARK KS
66215-2306
US

V. Phone/Fax

Practice location:
  • Phone: 913-541-5000
  • Fax:
Mailing address:
  • Phone: 913-541-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number115046
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: