MEDICARE: KIMBERLY KAY CATER 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	207Q00000X	Family Medicine Physician	105461	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558474312
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY KAY CATER M.D.

Provider Business Mailing Address
First Line	:	901 E. 104TH ST
Second Line	:	MAILSTOP 400N
City	:	KANSAS CITY
State	:	MO
Zip	:	64131
Country	:	US
Telephone Number	:	816-532-3999
Fax Number	:	816-532-4465

Provider Business Practice Location Address
First Line	:	601 S US HIGHWAY 169
Second Line	:
City	:	SMITHVILLE
State	:	MO
Zip	:	64089-9317
Country	:	US
Telephone Number	:	816-532-3999
Fax Number	:	816-532-4465

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

Provider Enumeration Date	:	08/16/2006
Last Update Date	:	09/17/2021

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Directions to “ KIMBERLY KAY CATER M.D.” Practice Location

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