Individual
EDDIE R ISLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4320 WORNALL RD, SUITE 240, KANSAS CITY, MO 64111-5941
(816) 932-4655
(816) 932-7920
Mailing address
901 E 104TH ST, MAILSTOP 400, KANSAS CITY, MO 64131-4517
(816) 502-8755
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
2016022749
MO
208600000X
Surgery Physician
2016022749
MO
208600000X
Surgery Physician
ME95769
FL
Other
Enumeration date
05/19/2006
Last updated
11/20/2018
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