1730595026 NPI number — MORGAN HENSLER AU.D.

Table of content: MORGAN HENSLER AU.D. (NPI 1730595026)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730595026 NPI number — MORGAN HENSLER AU.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HENSLER
Provider First Name:
MORGAN
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
AU.D.
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:
1730595026
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/06/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4320 WORNALL ROAD, SUITE 420
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KANSAS CITY
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
64111
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
816-932-1660
Provider Business Mailing Address Fax Number:
816-932-1675

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4230 WORNALL ROAD
Provider Second Line Business Practice Location Address:
SUITE 420
Provider Business Practice Location Address City Name:
KANSAS CITY
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64111
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-932-1660
Provider Business Practice Location Address Fax Number:
816-932-1675
Provider Enumeration Date:
07/07/2014

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: 231H00000X , with the licence number:  2014021750 , 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: 2014021750 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".




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