Healthcare Provider Details

I. General information

NPI: 1508063397
Provider Name (Legal Business Name): JOSEPH FRANKLIN BANKS D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2007
Last Update Date: 10/09/2024
Certification Date: 10/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 GILLHAM RD ANESTHESIA DEPARTMENT
KANSAS CITY MO
64108-4619
US

IV. Provider business mailing address

8717 W 110TH ST SUITE 600
OVERLAND PARK KS
66210-2144
US

V. Phone/Fax

Practice location:
  • Phone: 816-234-3464
  • Fax:
Mailing address:
  • Phone: 913-428-2950
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License Number2002019373
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License Number20A11613
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License Number05-35589
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: