Healthcare Provider Details

I. General information

NPI: 1104881358
Provider Name (Legal Business Name): WINFRIED REICHELT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2006
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2316 E MEYER BLVD
KANSAS CITY MO
64132
US

IV. Provider business mailing address

PO BOX 26827 MIDWEST PATHOLOGY ASSOCIATES
OVERLAND PARK KS
66225
US

V. Phone/Fax

Practice location:
  • Phone: 913-341-6297
  • Fax:
Mailing address:
  • Phone: 913-341-6297
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZH0000X
TaxonomyHematology (Pathology) Physician
License Number01095178A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberME89993
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number04-33965
License Number StateKS
# 4
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number01095178A
License Number StateIN
# 5
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number2009028900
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: