Individual
SUMMER ELYSE BAUMSTARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3130 MERSINGTON AVE, KANSAS CITY, MO 64128-1755
(816) 404-6700
Mailing address
3130 MERSINGTON AVE, KANSAS CITY, MO 64128-1755
(816) 404-6700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2025034236
MO
363AM0700X
Medical Physician Assistant
7744
AZ
Other
Enumeration date
07/09/2019
Last updated
10/15/2025
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