Healthcare Provider Details

I. General information

NPI: 1538470430
Provider Name (Legal Business Name): ALLISON HOWARD ZUPON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALLISON HOWARD MD

II. Dates (important events)

Enumeration Date: 06/24/2010
Last Update Date: 09/12/2022
Certification Date: 09/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 NW ENGLEWOOD RD
KANSAS CITY MO
64118-3973
US

IV. Provider business mailing address

630 NW ENGLEWOOD RD
KANSAS CITY MO
64118-3973
US

V. Phone/Fax

Practice location:
  • Phone: 816-453-2700
  • Fax: 816-453-9943
Mailing address:
  • Phone: 816-453-2700
  • Fax: 816-453-9943

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number9407457
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number9407457
License Number StateKS
# 3
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number2016008737
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: