# V. NANDA KUMAR, MD

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

## Provider details

- **NPI number:** 1548457195
- **Authorized official:** CAROLYN STOCKTON (OWNER)
- **Authorized official phone:** (913) 583-9890

## Contact information

- **Practice address:** 105 FAR WEST DR STE 203, SAINT JOSEPH, MO 64506-3514
- **Practice address phone:** (913) 364-3834
- **Mailing address:** 105 FAR WEST DR STE 203, SAINT JOSEPH, MO 64506-3514
- **Mailing address phone:** (913) 364-3834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/27/2007
- **Last updated:** 09/27/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 17366015 | BLUE CROSS BLUE SHIELD KC | MO |