Healthcare Provider Details

I. General information

NPI: 1225077811
Provider Name (Legal Business Name): DAVID S. SNEID M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 08/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6675 HOLMES RD STE 325
KANSAS CITY MO
64131-1150
US

IV. Provider business mailing address

6675 HOLMES RD STE 325
KANSAS CITY MO
64131-1150
US

V. Phone/Fax

Practice location:
  • Phone: 816-822-1234
  • Fax: 816-822-7940
Mailing address:
  • Phone: 816-822-1234
  • Fax: 816-822-7940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberMDR5401
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: