MEDICARE: MRS. ALLISON C HENSCHEL 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	208000000X	Pediatrics Physician	2003023661	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	:	1992799738
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALLISON C HENSCHEL MD

Provider Business Mailing Address
First Line	:	1425 NW BLUE PKWY
Second Line	:
City	:	LEES SUMMIT
State	:	MO
Zip	:	64086-5705
Country	:	US
Telephone Number	:	816-524-3223
Fax Number	:	816-525-2697

Provider Business Practice Location Address
First Line	:	821 SW LEMANS LN
Second Line	:
City	:	LEES SUMMIT
State	:	MO
Zip	:	64082-4618
Country	:	US
Telephone Number	:	816-524-3223
Fax Number	:	816-525-2697

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

Provider Enumeration Date	:	09/08/2005
Last Update Date	:	06/13/2011

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