Individual
DR. MARK S AUSTENFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4321 WASHINGTON ST, SUITE 5300, KANSAS CITY, MO 64111-5961
(816) 531-1234
(816) 531-0737
Mailing address
8551 BLUEJACKET ST, SUITE 100, LENEXA, KS 66214-1656
(913) 341-7985
(913) 341-7985
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
04-22588
KS
174400000X
Specialist
Primary
1099600
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056967
RURAL MEDICARE
KS
05
—
100116020F
—
KS
01
—
15204098
BCBS KC
MO
05
—
202705927
—
MO
01
—
340016729
RR MEDICARE
—
Enumeration date
05/11/2006
Last updated
01/15/2021
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