Individual
ANDREA M ELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5675 ROE BLVD, STE 100, ROELAND PARK, KS 66205-2538
(913) 432-2080
(913) 432-5183
Mailing address
5675 ROE BLVD, STE 100, ROELAND PARK, KS 66205-2538
(913) 432-2080
(913) 432-5183
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-30234
KS
2083P0901X
Public Health & General Preventive Medicine Physician
04-30234
KS
208M00000X
Hospitalist Physician
0430234
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100641200A
—
KS
05
—
209123108
—
MO
01
—
32859026
BCBS KANSAS CITY
MO
01
—
520670
FIRSTGUARD
KS
Enumeration date
08/30/2006
Last updated
10/02/2025
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