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Individual

DR. KATHLEEN VITTON FARRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
2401 GILLHAM RD, ATTN PROVIDER ENROLLMENT DEPT, KANSAS CITY, MO 64108-4619
(816) 701-5200

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2011007591
MO
208M00000X
Hospitalist Physician
04-33106
KS
208M00000X
Hospitalist Physician
Primary
2011007591
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200717550B
KS
Enumeration date
02/07/2006
Last updated
03/18/2026
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