Healthcare Provider Details

I. General information

NPI: 1659878874
Provider Name (Legal Business Name): JONATHAN E MOWREY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JOHN E MOWREY

II. Dates (important events)

Enumeration Date: 04/13/2018
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2340 E MEYER BLVD BLD 2, 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: 816-276-1700
  • Fax: 816-276-1703
Mailing address:
  • Phone: 816-276-1700
  • Fax: 816-276-1703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number04-47820
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number2023010484
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: