MEDICARE: KASEY HIGH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	2024025729	MO

General Provider Information

NPI Number	:	1104664846
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KASEY HIGH

Provider Business Mailing Address
First Line	:	1 WARRIOR CIR
Second Line	:
City	:	SMITHVILLE
State	:	MO
Zip	:	64089-9103
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5261 N ANTIOCH RD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64119-2646
Country	:	US
Telephone Number	:	816-448-4002
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2024
Last Update Date	:	07/17/2024

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Directions to “ KASEY HIGH ” Practice Location

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