Healthcare Provider Details

I. General information

NPI: 1164339198
Provider Name (Legal Business Name): DOUGLAS ALLEN PAPPERT COMS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 VICTORY LN
LIBERTY MO
64068-1920
US

IV. Provider business mailing address

3817 NW 75TH ST
KANSAS CITY MO
64151-4248
US

V. Phone/Fax

Practice location:
  • Phone: 816-736-5300
  • Fax: 816-735-5305
Mailing address:
  • Phone: 816-309-5950
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225CX0006X
TaxonomyOrientation and Mobility Training Rehabilitation Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: