Healthcare Provider Details

I. General information

NPI: 1962083550
Provider Name (Legal Business Name): EMMA K BASSETTE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2021
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2650 SHAWNEE MISSION PKWY
WESTWOOD KS
66205-2003
US

IV. Provider business mailing address

2650 SHAWNEE MISSION PKWY
WESTWOOD KS
66205-2003
US

V. Phone/Fax

Practice location:
  • Phone: 913-588-5824
  • Fax: 913-588-6244
Mailing address:
  • Phone: 913-588-5824
  • Fax: 913-588-6244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number94-12568
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: