Healthcare Provider Details

I. General information

NPI: 1679863591
Provider Name (Legal Business Name): MEGHAN HURT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2011
Last Update Date: 08/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 BROADWAY STE 302
KANSAS CITY MO
64111-3342
US

IV. Provider business mailing address

4400 BROADWAY STE 302
KANSAS CITY MO
64111-3342
US

V. Phone/Fax

Practice location:
  • Phone: 816-931-9344
  • Fax: 816-931-4168
Mailing address:
  • Phone: 816-931-9344
  • Fax: 816-931-4168

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number2015030694
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: