| Dr Kelly D Kreisler, MD | |
|
3901 Rainbow Blvd, Mail Stop 4004, Kansas City, KS 66103-2937 | |
| (913) 588-5000 | |
| Not Available |
| Full Name | Dr Kelly D Kreisler |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 3901 Rainbow Blvd, Kansas City, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144287996 | NPI | - | NPPES |
| 100450850B | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 0429991 (Kansas) | Primary |
| Entity Name | Kansas University Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003858333 PECOS PAC ID: 8921911587 Enrollment ID: O20040401000328 |
| Entity Name | Health Partnership Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265785232 PECOS PAC ID: 6507033867 Enrollment ID: O20120127000314 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kelly D Kreisler, MD 407 S Clairborne Rd, Suite 104, Olathe, KS 66062-1857 Ph: (913) 648-2266 | Dr Kelly D Kreisler, MD 3901 Rainbow Blvd, Mail Stop 4004, Kansas City, KS 66103-2937 Ph: (913) 588-5000 |
Carissa Lynn Stanton, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3901 Rainbow Blvd, Mail Stop 1037, Kansas City, KS 66160 Phone: 913-588-6329 | |
Miss Susan Cannon, PT, DPT, MSED Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Center For Child Health And Development, 3901 Rainbow Blvd., Mail Stop 4003, Kansas City, KS 66160 Phone: 913-588-5588 Fax: 913-588-5916 | |
Chaitali Nilkanth Mahajan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3901 Rainbow Blvd, Mailstop 4004, Kansas City, KS 66160 Phone: 913-588-6034 | |
Dr. David B Yu, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2040 Hutton Rd, Suite 102, Kansas City, KS 66109 Phone: 913-299-3700 Fax: 913-299-3050 | |
Francesca Perez Marques, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3901 Rainbow Blvd, M 2023, Kansas City, KS 66160 Phone: 913-955-6367 | |
Dr. Grace A Milburn, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2000 Olathe, Kansas City, KS 66160 Phone: 913-588-1227 |