Organization
OLD WESTPORT ENT & ALLERGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEE ANN BOWLES BS,MS (PRACTICE ADMINISTRATOR)
(816) 875-2599
Entity
Organization
Contact information
Practice address
1004 CARONDELET DR, SUITE 450, KANSAS CITY, MO 64114-4802
(816) 942-7200
(816) 942-2767
Mailing address
216 NW EXECUTIVE WAY, LEES SUMMIT, MO 64063-1841
(816) 875-2599
(816) 875-2598
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01379020
BCBS OF KC
MO
01
—
706201
UNITED HEALTH CARE
MO
01
—
71866
BCBS OF KS
KS
Enumeration date
05/05/2006
Last updated
08/22/2020
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