MEDICARE: ALLISON H ANDERSON M.D.

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	208000000X	Pediatrics Physician	0423071	KS
2	208000000X	Pediatrics Physician	R9H85	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194723619
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON H ANDERSON M.D.

Provider Business Mailing Address
First Line	:	14007 BENSON ST
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66221-2108
Country	:	US
Telephone Number	:	913-897-5832
Fax Number	:

Provider Business Practice Location Address
First Line	:	21 N 12TH ST
Second Line	:	SUITE 300
City	:	KANSAS CITY
State	:	KS
Zip	:	66102-5161
Country	:	US
Telephone Number	:	913-342-2552
Fax Number	:	913-342-3220

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

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	04/26/2012

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Directions to “ ALLISON H ANDERSON M.D.” Practice Location

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