Healthcare Provider Details

I. General information

NPI: 1871072041
Provider Name (Legal Business Name): JAMES STEPHEN RODKEY RT(R)(CT)(MR)
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2018
Last Update Date: 08/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5400 N OAK TRFY
KANSAS CITY MO
64118-4688
US

IV. Provider business mailing address

6118 N MERCIER ST
KANSAS CITY MO
64118-9115
US

V. Phone/Fax

Practice location:
  • Phone: 816-455-5959
  • Fax:
Mailing address:
  • Phone: 816-217-5515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2471C3401X
TaxonomyComputed Tomography Radiologic Technologist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code2471M1202X
TaxonomyMagnetic Resonance Imaging Radiologic Technologist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: