Healthcare Provider Details

I. General information

NPI: 1447332168
Provider Name (Legal Business Name): SEAN R CLINEFELTER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 CLAY EDWARDS DRIVE NORTH KANSAS CITY HOSPITAL
NORTH KANSAS CITY MO
64116
US

IV. Provider business mailing address

PO BOX 411099
KANSAS CITY MO
64141-1099
US

V. Phone/Fax

Practice location:
  • Phone: 816-221-4114
  • Fax: 816-346-7179
Mailing address:
  • Phone: 816-221-5050
  • Fax: 816-471-1247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number2005032881
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number2006032881
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: