KANSAS CITY CLINICAL NEUROLOGY ASSOCIATES, LTD. (NPI# 1922040799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922040799 |
| Entity Type | Organization |
| Organization Name | KANSAS CITY CLINICAL NEUROLOGY ASSOCIATES, LTD. |
| Other Organization Name | KCCNA |
| Practice Address |
276 Ne Tudor Rd Lees Summit MO 64086-5696 |
| Practice Telephone | 8165241700 |
| Practice Fax Number | 8165241794 |
| Mailing Telephone | 8165241700 |
| Mailing Fax Number | 8165241794 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LILLIE LUELLEN (OFFICE MANAGER) |
| Authorized Official Telephone | 8165241700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| KCCNA | Other Name - Individual/Organization |
| Street Address |
276 NE TUDOR RD |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64086-5696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871839910 | Taryne Dene Hensley | Nurse Practitioner | 276 Ne Tudor Rd, Lees Summit, MO 64086-5696 | 2012-12-18 |
| 1710055082 | Katherine Rose Duke | Nurse Practitioner | 276 Ne Tudor Rd, Lees Summit, MO 64086-5696 | 2006-12-02 |
| 1861508871 | Amber Joy Kunshek | Nurse Practitioner | 276 Ne Tudor Rd, Lees Summit, MO 64086-5696 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821057 | David L Harrison | Pharmacist | 6 Nw Sycamore St Ste A, Lees Summit, MO 64086 | 2019-10-08 |
| 1770069403 | Foster Family Pharmacy | Pharmacy | 6 Nw Sycamore St., Suite A, Lee's Summit, MO 64086 | 2018-07-16 |
| 1255716221 | Summit Eye Center, LLC | Ophthalmology | 1621 Nw Blue Parkway, Lees Summit, MO 64086 | 2015-07-20 |
| 1679954085 | Day By Day Staff Relief, LLC | Hospice Care, Community Based | 943 Ne Columbus Street, Lees Summit, MO 64086 | 2015-06-11 |
| 1831505544 | Johnathan Almeida | Emergency Medicine | 100 Ne St Lukes Blvd, Emergency Department, Lees Summit, MO 64086 | 2014-07-02 |
| 1215358429 | Alex Sharifian Dds Summit Modern Dentistry PC | Dentist | 940 Nw Blue Parkway, Suite A, Lee's Summit, MO 64086 | 2013-12-16 |
| 1477807303 | Lauren M Lee | Nurse Practitioner | 1425 Nw Blue Parkway, Lee's Summit, MO 64086 | 2012-10-30 |
| 1396016507 | Retha Rene Rudloff | General Practice | 1728 N.e. Misty Lane, Lee's Summit, MO 64086 | 2012-01-19 |
| 1629351200 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 691 Nw Blue Pkwy, Lees Summit, MO 64086 | 2011-09-21 |
| 1497054308 | Jennifer Nelson | Physical Therapist | 301 Ne Tudor, Lee's Summit, MO 64086 | 2011-03-17 |
| Find all providers in zip 64086 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033195540 | Roxane S Bremen | Psychiatry & Neurology | 622 Sw 3rd St, Ste B, Lees Summit, MO 64063-2280 | 2005-12-16 |
| 1619203874 | Roxane S. Bremen, D.o., P.C. | Psychiatry & Neurology | 622 Sw 3rd St, Ste B, Lees Summit, MO 64063-2280 | 2009-10-22 |
| 1245469998 | Karen Jean Haas | Psychiatry & Neurology | 2000 Se Blue Pkwy, # 270-a, Lees Summit, MO 64063-1041 | 2009-07-02 |
| 1932273737 | Kansas City Neurology Associates LLC | Psychiatry & Neurology | 2000 Se Blue Pkwy, Suite 270-a, Lees Summit, MO 64063-1018 | 2006-11-20 |
| 1427086941 | John Woody Harlan | Psychiatry & Neurology | 2000 Se Blue Pkwy, Suite 270-a, Lees Summit, MO 64063-1018 | 2006-06-30 |
| 1427091776 | Kathryn A Hedges | Psychiatry & Neurology | 2000 Se Blue Pkwy, Suite 270-a, Lees Summit, MO 64063-1018 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528665957 | Green Ring LLC | Psychiatry & Neurology | 7611 State Line Rd Ste 130, Kansas City, MO 64114-1696 | 2020-10-08 |
| 1356962799 | Mindsmattersmd LLC | Psychiatry & Neurology | 3305 Clark Ln, Pmb 130, Columbia, MO 65202-2404 | 2020-04-27 |
| 1316441470 | Earl Randolph Hackett | Psychiatry & Neurology | 2517 S. Brentwood, Springfield, MO 65804-3201 | 2018-03-22 |
| 1225547722 | Nikita M Maniar | Psychiatry & Neurology | 2301 Holmes St Dept Of, Kansas City, MO 64108-2640 | 2017-09-27 |
| 1083065148 | Waleed Raheem Abood Abood | Psychiatry & Neurology | 1 Hospital Drive, Ste 507, Columbia, MO 65202 | 2016-06-29 |
| 1750764866 | Jeffrey Calvin | Psychiatry & Neurology | 621 S New Ballas Rd Ste 6005b, Saint Louis, MO 63141-8273 | 2015-07-07 |
| 1871975672 | Byungkwan Hwang | Psychiatry & Neurology | 1605 Martin Springs Dr Ste 310, Rolla, MO 65401-2996 | 2015-06-29 |
| 1255747119 | Leah Brancheck | Psychiatry & Neurology | 111 Saint Lukes Center Dr Ste 20b, Chesterfield, MO 63017-3509 | 2014-07-10 |
| 1144648221 | Hala Samman | Psychiatry & Neurology | 1050 W 10th St Ste 350, Rolla, MO 65401-2905 | 2014-04-04 |
| 1710326939 | Emily Louise Evans | Psychiatry & Neurology | 1176 Town and Country Commons Dr, Chesterfield, MO 63017 | 2013-06-20 |
| Find all providers with the same taxonomy | ||||
| City | LEES SUMMIT |
| Zip Code | 64086 |
Please comment or provide details below to improve the information on KANSAS CITY CLINICAL NEUROLOGY ASSOCIATES, LTD..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.