Healthcare Provider Details

I. General information

NPI: 1659755502
Provider Name (Legal Business Name): RYAN NEFF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2015
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5844 NW BARRY RD STE 340
KANSAS CITY MO
64154-1402
US

IV. Provider business mailing address

901 E 104TH ST
KANSAS CITY MO
64131-4517
US

V. Phone/Fax

Practice location:
  • Phone: 816-880-2675
  • Fax:
Mailing address:
  • Phone: 816-932-8663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number2020015498
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: