Healthcare Provider Details

I. General information

NPI: 1467443614
Provider Name (Legal Business Name): ANESTHESIA ASSOCIATES OF KANSAS CITY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2005
Last Update Date: 03/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4911 ARROWHEAD DRIVE SUITE 300
INDEPENDENCE MO
64055-7018
US

IV. Provider business mailing address

8717 WEST 110TH STREET SUITE 600
OVERLAND PARK KS
66210-2144
US

V. Phone/Fax

Practice location:
  • Phone: 816-795-6880
  • Fax: 816-795-5980
Mailing address:
  • Phone: 913-428-2900
  • Fax: 913-428-2951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES A. GLENSKI
Title or Position: PRESIDENT/CEO
Credential: M.D.
Phone: 913-428-2900