MEDICARE: DR. ABIGAIL KILPATRICK EMERSON 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	2008018543	MO
2	207R00000X	Internal Medicine Physician	2008018543	MO

General Provider Information

NPI Number	:	1477655520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABIGAIL KILPATRICK EMERSON M.D.

Provider Business Mailing Address
First Line	:	PO BOX 843966
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64184-3966
Country	:	US
Telephone Number	:	573-884-3300
Fax Number	:	573-884-0943

Provider Business Practice Location Address
First Line	:	1000 W NIFONG BLVD
Second Line	:	BLDG 3, STE. 130
City	:	COLUMBIA
State	:	MO
Zip	:	65203-5615
Country	:	US
Telephone Number	:	573-884-2356
Fax Number	:	573-884-0913

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

Provider Enumeration Date	:	09/01/2006
Last Update Date	:	09/14/2022

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