Healthcare Provider Details

I. General information

NPI: 1134044779
Provider Name (Legal Business Name): KANSAS CITY ONCOLOGY AND HEMATOLOGY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3889 S JACKSON DR
INDEPENDENCE MO
64057-1927
US

IV. Provider business mailing address

12140 NALL AVE STE 200
OVERLAND PARK KS
66209-2507
US

V. Phone/Fax

Practice location:
  • Phone: 816-698-8290
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: LIA HOOD
Title or Position: DIRECTOR, CREDENTIALING
Credential:
Phone: 469-231-6417