MEDICARE: MARK MCPHEE MD

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	207R00000X	Internal Medicine Physician	R3AO5	MO

General Provider Information

NPI Number	:	1427589639
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK MCPHEE MD

Provider Business Mailing Address
First Line	:	1421 W 47TH ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64112-1103
Country	:	US
Telephone Number	:	816-941-6226
Fax Number	:

Provider Business Practice Location Address
First Line	:	1421 W 47TH ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64112-1103
Country	:	US
Telephone Number	:	816-941-6226
Fax Number	:

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

Provider Enumeration Date	:	03/21/2017
Last Update Date	:	03/21/2017

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