Healthcare Provider Details

I. General information

NPI: 1194384222
Provider Name (Legal Business Name): KARI ANNE SEMMES PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2019
Last Update Date: 09/21/2022
Certification Date: 09/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4320 WORNALL RD STE 710
KANSAS CITY MO
64111-3246
US

IV. Provider business mailing address

901 E 104TH ST MAILSTOP 400
KANSAS CITY MO
64131-4517
US

V. Phone/Fax

Practice location:
  • Phone: 816-932-2700
  • Fax: 816-932-2705
Mailing address:
  • Phone: 816-599-9499
  • Fax: 816-932-9670

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number312959
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: