Organization
COLON AND RECTAL SURGEONS OF KC PA
Active
Organization
COLON AND RECTAL SURGEONS OF KC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH VIVONA (PRACTICE MANAGER)
(913) 677-4010
Entity
Organization
Contact information
Practice address
8901 W 74TH ST, SUITE 149, SHAWNEE MISSION, KS 66204-2204
(913) 677-4010
(913) 677-1164
Mailing address
8901 W 74TH ST, SUITE 149, SHAWNEE MISSION, KS 66204-2204
(913) 677-4010
(913) 677-1164
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
R7G39
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R7G39
MISSOURI STATE MED LICENS
MO
Enumeration date
08/17/2006
Last updated
08/05/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up