MEDICARE: ANGELA GARNER 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
1	207R00000X	Internal Medicine Physician	2005018781	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	:	1952366692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA GARNER MD

Provider Business Mailing Address
First Line	:	11124 S AMINDA ST
Second Line	:
City	:	OLATHE
State	:	KS
Zip	:	66061-7132
Country	:	US
Telephone Number	:	816-822-0050
Fax Number	:	816-817-1075

Provider Business Practice Location Address
First Line	:	106 W 11TH ST
Second Line	:	SUITE 1215
City	:	KANSAS CITY
State	:	MO
Zip	:	64105-1813
Country	:	US
Telephone Number	:	816-822-0050
Fax Number	:	816-817-1075

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

Provider Enumeration Date	:	04/18/2006
Last Update Date	:	02/20/2018

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