Healthcare Provider Details
I. General information
NPI: 1437287398
Provider Name (Legal Business Name): ALLERGY & ASTHMA SPECIALISTS OF KANSAS CITY PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/01/2007
Last Update Date: 07/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6000 N OAK TRFY STE 102
GLADSTONE MO
64118-5176
US
IV. Provider business mailing address
6000 N OAK TRFY STE 102
GLADSTONE MO
64118-5176
US
V. Phone/Fax
- Phone: 816-453-7771
- Fax: 816-452-7980
- Phone: 816-453-7771
- Fax: 816-452-7980
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
LOUIS
H
STEKOLL
Title or Position: PHYSICIAN
Credential: MD
Phone: 816-453-7771