Individual
AMANDA G WAIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2737 NE MCBAINE DR, LEES SUMMIT, MO 64064-7880
(816) 251-5780
(816) 251-5781
Mailing address
901 E. 104TH ST, MAILSTOP 400N, KANSAS CITY, MO 64131-9712
(816) 502-7104
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2011016772
MO
207V00000X
Obstetrics & Gynecology Physician
OS10917
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0904564
CIGNA
MO
05
—
1881811602
—
MO
01
—
46070012
BCBS OF KC
MO
01
—
598858
COVENTRY HEALTHCARE OF KANSAS
MO
01
—
746460
MISSOURI CARE
MO
Enumeration date
04/20/2007
Last updated
02/27/2018
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