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NPI Code Detail

MEDICARE: DR. DANIELLE LYNN SKIRCHAK M.D.

MEDICARE: DR. DANIELLE LYNN SKIRCHAK 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
12084P0800XPsychiatry Physician31729KS
22084P0800XPsychiatry Physician2015025549MO

Other Identifiers

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

General Provider Information

NPI Number : 1750484242
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIELLE LYNN SKIRCHAK M.D.
Provider Business Mailing Address
First Line : 1555 NE RICE RD
Second Line :
City : LEES SUMMIT
State : MO
Zip : 64086-5849
Country : US
Telephone Number : 816-966-0903
Fax Number : 816-761-3433
Provider Business Practice Location Address
First Line : 5904 E BANNISTER RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64134-1141
Country : US
Telephone Number : 816-966-0903
Fax Number : 816-761-3433
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2006
Last Update Date : 09/28/2021

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