Healthcare Provider Details

I. General information

NPI: 1043958804
Provider Name (Legal Business Name): TAYLOR ANN WELLER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TAYLOR ANN DOESCHER MD

II. Dates (important events)

Enumeration Date: 05/23/2022
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5844 NW BARRY RD STE 110
KANSAS CITY MO
64154-1483
US

IV. Provider business mailing address

5844 NW BARRY RD STE 110
KANSAS CITY MO
64154-1483
US

V. Phone/Fax

Practice location:
  • Phone: 816-880-6100
  • Fax: 816-746-1226
Mailing address:
  • Phone: 816-880-6100
  • Fax: 816-746-1226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2026042325
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: