Individual
AMELIA FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
290 NE TUDOR RD, LEES SUMMIT, MO 64086-5696
(816) 524-5522
(816) 524-4798
Mailing address
290 NE TUDOR RD, LEES SUMMIT, MO 64086-5696
(816) 524-5522
(816) 524-4798
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
04-33926
KS
207RP1001X
Pulmonary Disease Physician
Primary
2009021713
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407865876
—
MO
05
—
200624140A
—
KS
Enumeration date
08/05/2006
Last updated
03/30/2018
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