MEDICARE: MRS. GINA MARIE SAVAGE

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	174400000X	Specialist

General Provider Information

NPI Number	:	1164913497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. GINA MARIE SAVAGE

Provider Business Mailing Address
First Line	:	2400 TROOST AVE STE 3400
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64108-2666
Country	:	US
Telephone Number	:	816-513-6270
Fax Number	:	816-513-6284

Provider Business Practice Location Address
First Line	:	2400 TROOST AVE STE 3400
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64108-2666
Country	:	US
Telephone Number	:	816-513-6270
Fax Number	:	816-513-6284

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

Provider Enumeration Date	:	05/22/2018
Last Update Date	:	05/22/2018

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