Healthcare Provider Details

I. General information

NPI: 1770426199
Provider Name (Legal Business Name): MEGAN MUSSELMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2026
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 CLAY EDWARDS DR
NORTH KANSAS CITY MO
64116-3220
US

IV. Provider business mailing address

2800 CLAY EDWARDS DR
NORTH KANSAS CITY MO
64116-3220
US

V. Phone/Fax

Practice location:
  • Phone: 816-691-5244
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835E0208X
TaxonomyEmergency Medicine Pharmacist
License Number2009020973
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: