Healthcare Provider Details

I. General information

NPI: 1609829233
Provider Name (Legal Business Name): ALISA B CAHILL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 08/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8708 WEST 135TH
OVERLAND PARK KS
66221
US

IV. Provider business mailing address

8708 WEST 135TH
OVERLAND PARK KS
66221
US

V. Phone/Fax

Practice location:
  • Phone: 913-851-9800
  • Fax: 913-851-9888
Mailing address:
  • Phone: 913-851-9800
  • Fax: 913-851-9888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0429172
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: