Individual
DR. MIRANDA LYN EDMUNDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Mailing address
2401 GILLHAM RD, ATTN PROVIDER ENROLLMENT DEPT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
04-51748
KS
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
2019029589
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200061855
—
MO
Enumeration date
06/26/2018
Last updated
11/25/2025
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