1144535931 NPI number — KARY WEYBREW RN,WHNP

Table of content: KARY WEYBREW RN,WHNP (NPI 1144535931)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144535931 NPI number — KARY WEYBREW RN,WHNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WEYBREW
Provider First Name:
KARY
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
RN,WHNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144535931
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/17/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4401 W 109TH ST
Provider Second Line Business Mailing Address:
SUITE 200
Provider Business Mailing Address City Name:
OVERLAND PARK
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66211-1303
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
913-312-5100
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1001 EMANUEL CLEAVER II BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KANSAS CITY
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64110-1687
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-756-2277
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/17/2010

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LW0102X , with the licence number:  2010026855 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 06215024 . This is a "BLUE CROSS BLUE SHIELD OF KANSAS CITY" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 03929191 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4508144 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0110035 . This is a "BLUE CROSS BLUE SHIELD OF KANSAS" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 100216210A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1679614838 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200282660A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4507780 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1535310 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".




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