Individual
DR. KATHLEEN B. WEATHERSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10500 QUIVIRA RD, OVERLAND PARK, KS 66215-2306
(913) 310-0225
(913) 310-0565
Mailing address
11600 COLLEGE BLVD, SUITE 201, OVERLAND PARK, KS 66210-2786
(913) 310-0225
(913) 310-0565
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
04-22540
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0422540
LICENSE
KS
05
—
100168520D
—
KS
05
—
208055517
—
MO
01
—
R9H80
LICENSE
MO
Enumeration date
06/20/2006
Last updated
06/12/2012
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