Individual
ANDREW S CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-6868
(913) 588-3365
Mailing address
3901 RAINBOW BLVD, 2032 SUDLER, MAILSTOP 1034, KANSAS CITY, KS 66160-8500
(913) 588-6868
(913) 588-3365
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
04-46893
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300028722
—
IN
Enumeration date
04/29/2018
Last updated
10/27/2022
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