Healthcare Provider Details

I. General information

NPI: 1639172760
Provider Name (Legal Business Name): DANNY K CARROLL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2005
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2820 E ROCK HAVEN RD
HARRISONVILLE MO
64701-4417
US

IV. Provider business mailing address

2820 E ROCK HAVEN RD
HARRISONVILLE MO
64701-4417
US

V. Phone/Fax

Practice location:
  • Phone: 816-380-7662
  • Fax: 816-887-2192
Mailing address:
  • Phone: 816-380-7662
  • Fax: 816-887-2192

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberR1C81
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: