Individual
DR. PATRICK M MORIARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3901 RAINBOW BLVD, MAIL STOP 3008, KANSAS CITY, KS 66160
(913) 588-6057
(913) 588-4074
Mailing address
3901 RAINBOW BLVD., 4070 DELP MAIL STOP 4017, KANSAS CITY, KS 66160
(913) 588-6000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-25361
KS
208U00000X
Clinical Pharmacology Physician
Primary
04-25361
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100163790A
—
KS
05
—
207880808
—
MO
01
—
21063013
BCBS KC
MO
01
—
626590
FIRSTGUARD
KS
Enumeration date
09/05/2006
Last updated
05/29/2014
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