MEDICARE: CAROL ANN DOSKEY

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	363L00000X	Nurse Practitioner	77964	KS
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	2018002781	MO

General Provider Information

NPI Number	:	1487169165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROL ANN DOSKEY

Provider Business Mailing Address
First Line	:	2900 CLAY EDWARDS DR
Second Line	:
City	:	NORTH KANSAS CITY
State	:	MO
Zip	:	64116-3235
Country	:	US
Telephone Number	:	816-518-2116
Fax Number	:

Provider Business Practice Location Address
First Line	:	2900 CLAY EDWARDS DR
Second Line	:
City	:	NORTH KANSAS CITY
State	:	MO
Zip	:	64116-3235
Country	:	US
Telephone Number	:	816-691-5101
Fax Number	:	816-346-7377

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

Provider Enumeration Date	:	12/04/2017
Last Update Date	:	07/13/2022

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Directions to “ CAROL ANN DOSKEY ” Practice Location

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