Individual
SARA ELIZABETH CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204-4004
(913) 676-2214
Mailing address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204-4004
(913) 676-2214
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2005016345
MO
207P00000X
Emergency Medicine Physician
Primary
2008014373
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821148123
—
MO
05
—
2000616950B
—
KS
05
—
200616950A
—
KS
01
—
42646016
BCBS KC GROUP 30492021
KS
01
—
42646026
BCBS KC GROUP 01674018
KS
01
—
P00738054
RR MEDICARE GROUP CG8899
KS
Enumeration date
01/11/2007
Last updated
06/30/2021
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