Healthcare Provider Details

I. General information

NPI: 1609173228
Provider Name (Legal Business Name): REBECCA ANN ROMERO PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2011
Last Update Date: 01/26/2022
Certification Date: 01/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2650 SHAWNEE MISSION PKWY
WESTWOOD KS
66205-2003
US

IV. Provider business mailing address

4000 CAMBRIDGE ST # MS 2005
KANSAS CITY KS
66160-8501
US

V. Phone/Fax

Practice location:
  • Phone: 913-588-7750
  • Fax:
Mailing address:
  • Phone: 913-588-7750
  • Fax: 913-945-9300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number15-01441
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: