1285188607 NPI number — AMY HOFFMANN

Table of content: AMY HOFFMANN (NPI 1285188607)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285188607 NPI number — AMY HOFFMANN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOFFMANN
Provider First Name:
AMY
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
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:
1285188607
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/15/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
UNIVERSITY OF KUMC DEPT OF OB GYN
Provider Second Line Business Mailing Address:
3901 RAINBOW BLVD MS 2028
Provider Business Mailing Address City Name:
KANSAS CITY
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66160-0001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
913-574-1418
Provider Business Mailing Address Fax Number:
913-574-1437

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12000 W 110TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OVERLAND PARK
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66210-3910
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-574-1418
Provider Business Practice Location Address Fax Number:
913-574-1437
Provider Enumeration Date:
08/15/2016

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:  5377047051 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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