Healthcare Provider Details

I. General information

NPI: 1336263425
Provider Name (Legal Business Name): STEVEN H BEHRENDS MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 08/22/2020
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 Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STEVEN H BEHRENDS
Title or Position: OWNER
Credential:
Phone: 816-942-6313