Healthcare Provider Details

I. General information

NPI: 1023578432
Provider Name (Legal Business Name): BOYANG LIU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2019
Last Update Date: 07/12/2024
Certification Date: 07/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2340 E MEYER BLVD STE 480
KANSAS CITY MO
64132-1116
US

IV. Provider business mailing address

2340 E MEYER BLVD STE 480
KANSAS CITY MO
64132-1116
US

V. Phone/Fax

Practice location:
  • Phone: 816-276-1770
  • Fax:
Mailing address:
  • Phone: 816-276-1770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number04-49410
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number2024018414
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: