Healthcare Provider Details
I. General information
NPI: 1083943922
Provider Name (Legal Business Name): KANSAS CITY WOMENS CLINIC GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/23/2009
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10600 QUIVIRA RD 3RD FLOOR
OVERLAND PARK KS
66215-2309
US
IV. Provider business mailing address
2000 HEALTH PARK DR
BRENTWOOD TN
37027-4692
US
V. Phone/Fax
- Phone: 913-984-8500
- Fax: 913-492-2874
- Phone: 615-373-7406
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BENJAMIN
CALKINS
Title or Position: GROUP VICE PRESIDENT
Credential:
Phone: 615-372-6536