| Kansas City Geriatrics | |
|
3014 Oak St Kansas City MO 64108-3240 | |
| (816) 931-5594 | |
| Not Available |
| Full Name | Kansas City Geriatrics |
|---|---|
| Speciality | Internal Medicine |
| Location | 3014 Oak St, Kansas City, Missouri |
| Authorized Official Name and Position | Kevin Eugene Farrrell (OWNER) |
| Authorized Official Contact | 8169315594 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kansas City Geriatrics 3014 Oak St Kansas City MO 64108-3240 Ph: (816) 931-5594 | Kansas City Geriatrics 3014 Oak St Kansas City MO 64108-3240 Ph: (816) 931-5594 |
| NPI Number | 1154792505 |
|---|---|
| Provider Enumeration Date | 10/12/2015 |
| Last Update Date | 02/19/2021 |
| Medicare PECOS PAC ID | 3274836788 |
|---|---|
| Medicare Enrollment ID | O20160115001623 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154792505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2008021948 (Missouri) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | 113250 (Missouri) | Primary |
| Provider Name | James D Lawrenzi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174550313 PECOS PAC ID: 0941357669 Enrollment ID: I20090416000097 |
| Provider Name | Kevin E Farrell |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1962409599 PECOS PAC ID: 2567549314 Enrollment ID: I20100518000375 |
| Provider Name | Rhonda L Drury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659641108 PECOS PAC ID: 0749448918 Enrollment ID: I20120220000105 |
| Provider Name | Scott F Avery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427230069 PECOS PAC ID: 5597913954 Enrollment ID: I20120911000079 |
| Provider Name | Timothy Edward Badger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316371198 PECOS PAC ID: 8921234568 Enrollment ID: I20140224000122 |
| Provider Name | Michelle Sexton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659777696 PECOS PAC ID: 7618299199 Enrollment ID: I20141212000252 |
| Provider Name | Keri J Sutter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457731309 PECOS PAC ID: 3476700493 Enrollment ID: I20150710001987 |
| Provider Name | Tayler A Marcolla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831565811 PECOS PAC ID: 0547578353 Enrollment ID: I20150928002734 |
| Provider Name | Robert Otto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033585609 PECOS PAC ID: 1254649627 Enrollment ID: I20151005001322 |
| Provider Name | Valerie Dawn Helm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497137806 PECOS PAC ID: 9032414065 Enrollment ID: I20160229001698 |
| Provider Name | Nicole A Zwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912406778 PECOS PAC ID: 9739442559 Enrollment ID: I20180615001344 |
| Provider Name | Robert Claude Kamtio Kamgoum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457839573 PECOS PAC ID: 5496004707 Enrollment ID: I20180820003557 |
| Provider Name | Nicole R Romine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023663770 PECOS PAC ID: 8628125705 Enrollment ID: I20200127001735 |
| Provider Name | Teresa Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780393116 PECOS PAC ID: 8426416371 Enrollment ID: I20230628002553 |
| Provider Name | Amanda Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346946639 PECOS PAC ID: 7113392242 Enrollment ID: I20231128000128 |
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