MEDICARE: WALEED KHALED KHALEEL

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	332B00000X	Durable Medical Equipment & Medical Supplies	LC014671147	MO

General Provider Information

NPI Number	:	1255207502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WALEED KHALED KHALEEL

Provider Business Mailing Address
First Line	:	2901 NE 59TH TER APT 6
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64119-2157
Country	:	US
Telephone Number	:	816-785-3823
Fax Number	:

Provider Business Practice Location Address
First Line	:	1321 BURLINGTON ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64116-4050
Country	:	US
Telephone Number	:	816-785-3823
Fax Number	:

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

Provider Enumeration Date	:	10/14/2025
Last Update Date	:	10/14/2025

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Directions to “ WALEED KHALED KHALEEL ” Practice Location

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