Individual
NORMAN WAITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
10985 CODY ST, SUITE 110, OVERLAND PARK, KS 66210-1219
(913) 339-9437
(913) 339-9538
Mailing address
10985 CODY ST, SUITE 110, OVERLAND PARK, KS 66210-1219
(913) 339-9437
(913) 339-9538
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
4877
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100084500B
—
KS
05
—
2508767
—
MO
Enumeration date
09/02/2006
Last updated
10/19/2012
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