# KANSAS CITY UROLOGY CARE, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528024676
- **Authorized official:** MR. MICHAEL H BURNETT MBA (COO)
- **Authorized official phone:** (913) 341-7733

## Contact information

- **Practice address:** 10701 NALL AVE, SUITE 100, OVERLAND PARK, KS 66211-1231
- **Practice address phone:** (913) 341-7985
- **Practice address fax:** (913) 341-7988
- **Mailing address:** 8551 BLUEJACKET ST, LENEXA, KS 66214-1656
- **Mailing address phone:** (913) 341-7985
- **Mailing address fax:** (913) 341-7988

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/25/2006
- **Last updated:** 12/09/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100361350B | — | KS |
| 05 | — | 100361650A | — | KS |
| 05 | — | 505100305 | — | MO |
| 05 | — | 505100800 | — | MO |