MEDICARE: MS. TERESA DIANE KAMAL M.D D.O

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1477709491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TERESA DIANE KAMAL M.D D.O

Provider Business Mailing Address
First Line	:	8509 E 93RD ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64138-4614
Country	:	US
Telephone Number	:	816-914-7517
Fax Number	:

Provider Business Practice Location Address
First Line	:	8509 E 93RD ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64138-4614
Country	:	US
Telephone Number	:	816-914-7517
Fax Number	:

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

Provider Enumeration Date	:	08/10/2008
Last Update Date	:	08/10/2008

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