Healthcare Provider Details

I. General information

NPI: 1972583144
Provider Name (Legal Business Name): STEVEN HENRY BEHRENDS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 CARONDELET DR SUITE 321
KANSAS CITY MO
64114-4859
US

IV. Provider business mailing address

1010 CARONDELET DR SUITE 321
KANSAS CITY MO
64114-4859
US

V. Phone/Fax

Practice location:
  • Phone: 816-942-6313
  • Fax: 816-943-6337
Mailing address:
  • Phone: 816-942-6313
  • Fax: 816-943-6337

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD34953
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number19968
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: