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NPI Code Detail

MEDICARE: DR. KATHY ANN TRUMBULL MD

MEDICARE: DR. KATHY ANN TRUMBULL 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
1207VE0102XReproductive Endocrinology Physician036078011IL
2207V00000XObstetrics & Gynecology Physician2014034963MO

General Provider Information

NPI Number : 1720067630
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHY ANN TRUMBULL MD
Provider Business Mailing Address
First Line : 825 EUCLID AVE
Second Line :
City : KANSAS CITY
State : MO
Zip : 64124-2323
Country : US
Telephone Number : 816-474-4920
Fax Number :
Provider Business Practice Location Address
First Line : 825 EUCLID AVE
Second Line :
City : KANSAS CITY
State : MO
Zip : 64124-2323
Country : US
Telephone Number : 816-474-4920
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2006
Last Update Date : 10/06/2014

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Directions to “ DR. KATHY ANN TRUMBULL MD” Practice Location

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