Individual
ROBERT M BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3800 W 57TH TER, FAIRWAY, KS 66205-3401
(913) 904-2975
Mailing address
3800 W 57TH TER, FAIRWAY, KS 66205-3401
(913) 558-1539
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
0420675
KS
207T00000X
Neurological Surgery Physician
35C.000191
OH
207T00000X
Neurological Surgery Physician
MD480025
PA
207T00000X
Neurological Surgery Physician
U4976
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100122740B
—
KS
01
—
101860
BCBS KANSAS
KS
01
—
18398069
BCBS KANSAS CITY
MO
05
—
202548814
—
MO
Enumeration date
07/28/2006
Last updated
05/08/2025
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