Individual
PAMELA M. WEINHOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7405 RENNER RD, KU MEDWEST, SHAWNEE, KS 66217-9414
(913) 588-8400
(913) 588-8413
Mailing address
2330 SHAWNEE MISSION PKWY, MEDICAL ADMINISTRATIVE SERVICES OF KU MED, STE. 312, WESTWOOD, KS 66205-2005
(913) 588-9000
(913) 588-9822
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-25577
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10001313101
CHP PROVIDER NUMBER
—
05
—
100423720B
—
KS
01
—
157659XX
PREFERRED CARE OF NY
—
01
—
31491019
BCBS
—
01
—
481159444
JAYHAWK TAX ID
—
01
—
506790
FIRSTGUARD
—
01
—
7501135
AETNA
—
01
—
930121323
RR MEDICARE
—
Enumeration date
06/14/2006
Last updated
11/20/2009
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