Healthcare Provider Details

I. General information

NPI: 1043247000
Provider Name (Legal Business Name): KATHERINE TEGTMEIER CUNDIFF M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2006
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 SE BLUE PKWY
LEES SUMMIT MO
64063-1007
US

IV. Provider business mailing address

8717 W 110TH ST STE 600
OVERLAND PARK KS
66210-2126
US

V. Phone/Fax

Practice location:
  • Phone: 816-282-5000
  • Fax:
Mailing address:
  • Phone: 913-428-2900
  • Fax: 913-428-2951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number04-35164
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number2009001600
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: