Healthcare Provider Details
I. General information
NPI: 1326362989
Provider Name (Legal Business Name): ELIZABETH MARIE WULFF MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/25/2010
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2650 SHAWNEE MISSION PKWY
WESTWOOD KS
66205-2003
US
IV. Provider business mailing address
2330 SHAWNEE MISSION PARKWAY SUITE 210 MS 5003
WESTWOOD KS
66205
US
V. Phone/Fax
- Phone: 913-588-1227
- Fax:
- Phone: 913-588-6029
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RH0002X |
| Taxonomy | Hospice and Palliative Medicine (Internal Medicine) Physician |
| License Number | 50470 |
| License Number State | TN |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RX0202X |
| Taxonomy | Medical Oncology Physician |
| License Number | 50470 |
| License Number State | TN |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RH0002X |
| Taxonomy | Hospice and Palliative Medicine (Internal Medicine) Physician |
| License Number | 04-40143 |
| License Number State | KS |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RH0002X |
| Taxonomy | Hospice and Palliative Medicine (Internal Medicine) Physician |
| License Number | 2021018936 |
| License Number State | MO |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RX0202X |
| Taxonomy | Medical Oncology Physician |
| License Number | 2021018936 |
| License Number State | MO |
| # 6 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RX0202X |
| Taxonomy | Medical Oncology Physician |
| License Number | 04-40143 |
| License Number State | KS |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: