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General NPI Number Information
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NPI Number | 1891757183
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Entity Type | Organization
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Legal Business Name | CENTER FOR RHEUMATIC DISEASE & THE CENTER FOR ALLERGY-IMMUNOLOGY PC
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Dates
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Enumeration Date | 04/04/2006
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Last Update Date | 05/07/2010
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Provider Practice Location Address
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Address Line | 4330 WORNALL RD MED PLAZA II, 4TH FLOOR
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City | KANSAS CITY
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State | MO
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Zip | 64111-3217
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Country | US
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Telephone | 816-531-0930
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Fax | 816-753-2671
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Provider Business Mailing Address
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Address Line | 4330 WORNALL ROAD MED PLAZA II, 4TH FLOOR SUITE 40
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City | KANSAS CITY
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State | MO
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Zip | 64111-3217
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Country | US
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Telephone | 816-531-0930
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Fax | 816-753-2671
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANN E WARNER
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Credential | M.D.
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Telephone | 816-531-0930
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207KI0005X
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Taxonomy Name | Clinical & Laboratory Immunology (Allergy & Immunology) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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