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NPI Code Detail

MEDICARE: DR. STEPHANIE ANN SEDIVY M.D.

MEDICARE: DR. STEPHANIE ANN SEDIVY 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
1207ZD0900XDermatopathology (Pathology) Physician01095343AIN
2207ZD0900XDermatopathology (Pathology) Physician0424745KS
3207ZD0900XDermatopathology (Pathology) PhysicianC4202KY
4207ZD0900XDermatopathology (Pathology) Physician102716MO

General Provider Information

NPI Number : 1386673473
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHANIE ANN SEDIVY M.D.
Provider Business Mailing Address
First Line : 2818 W 66TH TER
Second Line :
City : MISSION HILLS
State : KS
Zip : 66208-1811
Country : US
Telephone Number : 913-362-2227
Fax Number : 913-362-2231
Provider Business Practice Location Address
First Line : 7800 W 110TH ST
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66210-2304
Country : US
Telephone Number : 913-339-0416
Fax Number : 913-319-4316
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2006
Last Update Date : 09/15/2025

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