Healthcare Provider Details

I. General information

NPI: 1972895324
Provider Name (Legal Business Name): MIDWIVES OF KANSAS CITY WOMEN'S CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2011
Last Update Date: 05/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6115 NIEMAN RD
SHAWNEE KS
66203-2939
US

IV. Provider business mailing address

6115 NIEMAN RD
SHAWNEE KS
66203-2939
US

V. Phone/Fax

Practice location:
  • Phone: 877-551-0001
  • Fax: 866-885-9694
Mailing address:
  • Phone: 877-551-0001
  • Fax: 866-885-9694

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SUZANNE MARY RYAN
Title or Position: OWNER
Credential: MSN, CNM
Phone: 913-547-1495