Individual
DR. MICHAEL PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT DEPT, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
T0603
TX
2080N0001X
Neonatal-Perinatal Medicine Physician
04-49099
KS
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
2024012062
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-49099
STATE MEDICAL LICENSE
KS
01
—
2024012062
STATE MEDICAL LICENSE
MO
01
—
T0603
STATE MEDICAL LICENSE
TX
Enumeration date
04/09/2018
Last updated
11/13/2024
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