Healthcare Provider Details

I. General information

NPI: 1831145408
Provider Name (Legal Business Name): ROSEANNE M OLMSTEAD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2211 CHARLOTTE ST STE 300
KANSAS CITY MO
64108-2733
US

IV. Provider business mailing address

2211 CHARLOTTE ST STE 300
KANSAS CITY MO
64108-2733
US

V. Phone/Fax

Practice location:
  • Phone: 816-404-4966
  • Fax: 816-404-0313
Mailing address:
  • Phone: 816-404-4966
  • Fax: 816-404-0313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number04-34322
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number2011020350
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: