MEDICARE: DR. ALLISON HOWARD ZUPON 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	2085R0202X	Diagnostic Radiology Physician	9407457	KS
2	2085R0202X	Diagnostic Radiology Physician	2016008737	MO
3	207R00000X	Internal Medicine Physician	9407457	KS

General Provider Information

NPI Number	:	1538470430
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALLISON HOWARD ZUPON MD

Provider Business Mailing Address
First Line	:	630 NW ENGLEWOOD RD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64118-3973
Country	:	US
Telephone Number	:	816-453-2700
Fax Number	:	816-453-9943

Provider Business Practice Location Address
First Line	:	630 NW ENGLEWOOD RD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64118-3973
Country	:	US
Telephone Number	:	816-453-2700
Fax Number	:	816-453-9943

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

Provider Enumeration Date	:	06/24/2010
Last Update Date	:	09/12/2022

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