Individual
JOEL DAVID ACKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 NE MISSION ROAD, LEES SUMMIT, MO 64086-6408
(913) 428-2900
Mailing address
8717 W 110TH ST STE 600, OVERLAND PARK, KS 66210-2126
(913) 428-2900
(816) 795-5980
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
46649
MN
207LP2900X
Pain Medicine (Anesthesiology) Physician
0432870
KS
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
2008002387
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204926802
—
MO
05
—
450062800
—
MN
Enumeration date
12/15/2005
Last updated
11/20/2023
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