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NPI 1043247000

NPI 1043247000 : KATHERINE TEGTMEIER CUNDIFF M.D. : LEES SUMMIT, MO

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General NPI Number Information
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    NPI Number           |    1043247000
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    Entity Type          |    Individual 
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    Provider Name        |    KATHERINE TEGTMEIER CUNDIFF M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/27/2006
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    Last Update Date     |    05/06/2025
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Provider Practice Location Address
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    Address Line         |    2100 SE BLUE PKWY 
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    City                 |    LEES SUMMIT
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    State                |    MO
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    Zip                  |    64063-1007
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    Country              |    US
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    Telephone            |    816-282-5000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8717 W 110TH ST STE 600 
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    City                 |    OVERLAND PARK
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    State                |    KS
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    Zip                  |    66210-2126
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    Country              |    US
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    Telephone            |    913-428-2900
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    Fax                  |    913-428-2951
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    04-35164
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    License Number State |    KS
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Taxonomy #2
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    Taxonomy Code        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    2009001600
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    License Number State |    MO
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