Healthcare Provider Details

I. General information

NPI: 1659204014
Provider Name (Legal Business Name): EMILY FAY MAUPIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/07/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 W 34TH ST STE 406
KANSAS CITY MO
64111-3124
US

IV. Provider business mailing address

5700 NE 62ND ST
KANSAS CITY MO
64119-1627
US

V. Phone/Fax

Practice location:
  • Phone: 816-972-1597
  • Fax:
Mailing address:
  • Phone: 816-694-7201
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number2026007955
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: