MEDICARE: KATY ABELBECK PHARMD

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	183500000X	Pharmacist	17851	NV
2	183500000X	Pharmacist	2012027096	MO
3	183500000X	Pharmacist	15468	KS

General Provider Information

NPI Number	:	1578846747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATY ABELBECK PHARMD

Provider Business Mailing Address
First Line	:	3537 BROADWAY BLVD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64111-2501
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3537 BROADWAY BLVD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64111-2501
Country	:	US
Telephone Number	:	816-561-1933
Fax Number	:

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

Provider Enumeration Date	:	09/23/2011
Last Update Date	:	04/03/2017

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Directions to “ KATY ABELBECK PHARMD” Practice Location

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