Individual
MICHAEL JOSEPH EVERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8900 STATE LINE RD, STE 380, LEAWOOD, KS 66206
(913) 385-7252
(913) 385-2412
Mailing address
8900 STATE LINE RD, STE 380, LEAWOOD, KS 66206
(913) 385-7252
(913) 385-2412
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0429972
KS
2084P0800X
Psychiatry Physician
2004002766
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34353016
BCBS OF KC
—
Enumeration date
01/10/2006
Last updated
07/08/2007
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