MEDICARE: DR. KIRK M WANLESS 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	207Y00000X	Otolaryngology Physician	2004028847	MO

General Provider Information

NPI Number	:	1497749485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KIRK M WANLESS MD

Provider Business Mailing Address
First Line	:	1501 UNION AVE
Second Line	:	SUITE B
City	:	MOBERLY
State	:	MO
Zip	:	65270-9469
Country	:	US
Telephone Number	:	660-263-4600
Fax Number	:	660-263-4640

Provider Business Practice Location Address
First Line	:	1501 UNION AVE
Second Line	:	SUITE B
City	:	MOBERLY
State	:	MO
Zip	:	65270-9469
Country	:	US
Telephone Number	:	660-263-4600
Fax Number	:	660-263-4640

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

Provider Enumeration Date	:	09/06/2005
Last Update Date	:	07/22/2014

Similar Medicare Providers

1760352488 — HAN CHUAN SU
Practice Location Address:

1501 UNION AVE
MOBERLY, MO
65270-9469

Practice Phone: 660-263-4770
Practice Fax: 660-263-2228

1215933544 — SUSAN Y RASMUSSEN FNP
Practice Location Address:

1501 UNION AVE , SUITE A
MOBERLY, MO
65270-9469

Practice Phone: 660-263-5556
Practice Fax:

1881693323 — PHILIP STITZER DO
Practice Location Address:

1501 UNION AVE , SUITE C & D
MOBERLY, MO
65270-9469

Practice Phone: 660-263-4770
Practice Fax: 660-263-2228

1548269079 — JON P RAMPTON DO
Practice Location Address:

1501 UNION AVE
MOBERLY, MO
65270-9469

Practice Phone: 660-263-4770
Practice Fax:

1114029451 — DIANA WEMHOFF APRN, BC
Practice Location Address:

1501 UNION AVE STE D
MOBERLY, MO
65270-9469

Practice Phone: 660-263-4770
Practice Fax: 660-263-2228

1033268768 — ERMA RUTH JOHNMEYER FNP-C
Practice Location Address:

1501 UNION AVE
MOBERLY, MO
65270-9469

Practice Phone: 660-263-4770
Practice Fax: 660-263-2228

Directions to “ DR. KIRK M WANLESS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.