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NPI Code Detail

MEDICARE: KARSTEN EVANS M.D.

MEDICARE: KARSTEN EVANS 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
1207ZC0500XCytopathology Physician2017031955MO
2390200000XStudent in an Organized Health Care Education/Training Program
3207ZP0102XAnatomic Pathology & Clinical Pathology Physician2017031955MO

General Provider Information

NPI Number : 1598115685
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARSTEN EVANS M.D.
Provider Business Mailing Address
First Line : 8000 ROE AVE
Second Line :
City : PRAIRIE VILLAGE
State : KS
Zip : 66208-5074
Country : US
Telephone Number : 785-341-4954
Fax Number :
Provider Business Practice Location Address
First Line : 3901 RAINBOW BLVD
Second Line :
City : KANSAS CITY
State : KS
Zip : 66160-8500
Country : US
Telephone Number : 913-588-7076
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2016
Last Update Date : 04/26/2022

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