Healthcare Provider Details

I. General information

NPI: 1881983864
Provider Name (Legal Business Name): AMY K PATEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2011
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2529 GLENN HENDREN DR
LIBERTY MO
64068-9607
US

IV. Provider business mailing address

5990 N SALINE AVE
KANSAS CITY MO
64151-2460
US

V. Phone/Fax

Practice location:
  • Phone: 913-588-1227
  • Fax:
Mailing address:
  • Phone: 816-792-7089
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number2016013295
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: