Healthcare Provider Details

I. General information

NPI: 1508246885
Provider Name (Legal Business Name): KALLIE WOODS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KALLIE WEINAND

II. Dates (important events)

Enumeration Date: 06/02/2015
Last Update Date: 10/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4321 WASHINGTON ST SUITE 4000
KANSAS CITY MO
64111-5961
US

IV. Provider business mailing address

4321 WASHINGTON ST SUITE 4000
KANSAS CITY MO
64111-5961
US

V. Phone/Fax

Practice location:
  • Phone: 816-932-7544
  • Fax: 816-932-5394
Mailing address:
  • Phone: 816-932-7544
  • Fax: 816-932-5394

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: