Healthcare Provider Details

I. General information

NPI: 1588643704
Provider Name (Legal Business Name): CYNTHIA A SPILKER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2006
Last Update Date: 01/18/2020
Certification Date: 01/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2521 GLENN HENDREN DR SUITE 402
LIBERTY MO
64068
US

IV. Provider business mailing address

PO BOX 219672
KANSAS CITY MO
64121-9672
US

V. Phone/Fax

Practice location:
  • Phone: 816-781-8445
  • Fax: 816-781-8413
Mailing address:
  • Phone: 816-407-4200
  • Fax: 816-407-2362

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberMD105151
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: