Healthcare Provider Details

I. General information

NPI: 1447191986
Provider Name (Legal Business Name): YOLONDA MONIQUE PEELER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 W 14TH AVE STE 153
KANSAS CITY MO
64116-3924
US

IV. Provider business mailing address

20 W 14TH AVE STE 153
KANSAS CITY MO
64116-3924
US

V. Phone/Fax

Practice location:
  • Phone: 816-882-6736
  • Fax:
Mailing address:
  • Phone: 816-882-6736
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code202K00000X
TaxonomyPhlebology Physician
License Number47137-168-019-9816
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: