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NPI Code Detail

MEDICARE: ONE LIFE PSYCHIATRY PLLC

MEDICARE: ONE LIFE PSYCHIATRY PLLC
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
12084P0800XPsychiatry Physician
22084P0805XGeriatric Psychiatry Physician
32084S0012XSleep Medicine (Psychiatry & Neurology) Physician
42084P0804XChild & Adolescent Psychiatry Physician

General Provider Information

NPI Number : 1316721640
Entity Type Code : Organization
Provider Name (Legal Business Name) : ONE LIFE PSYCHIATRY PLLC
Provider Business Mailing Address
First Line : 4050 PENNSYLAVNIA AVENUE
Second Line : SUITE 115 #507
City : KANSAS CITY
State : MO
Zip : 64111-3041
Country : US
Telephone Number : 888-855-0947
Fax Number :
Provider Business Practice Location Address
First Line : 1701 TROOST AVE # 1037
Second Line :
City : KANSAS CITY
State : MO
Zip : 64108-1540
Country : US
Telephone Number : 888-855-0947
Fax Number : 346-766-0599
Authorized Official
Title or Position : CHILD/ADULT PSYCHIATRY
Name : DR. VILASH KUMAR REDDY
Credential : MD
Telephone Number : 888-855-0947
Provider Enumeration Date : 08/18/2023
Last Update Date : 04/29/2024

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Directions to “ONE LIFE PSYCHIATRY PLLC ” Practice Location

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