Healthcare Provider Details

I. General information

NPI: 1932842077
Provider Name (Legal Business Name): YU-SHIUAN HSU DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2022
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 NW MURRAY RD STE 201
LEES SUMMIT MO
64081-1227
US

IV. Provider business mailing address

600 NW MURRAY RD STE 201
LEES SUMMIT MO
64081-1227
US

V. Phone/Fax

Practice location:
  • Phone: 816-434-3633
  • Fax: 816-434-3634
Mailing address:
  • Phone: 816-434-3633
  • Fax: 816-434-3634

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2022022949
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: