Organization Active NPI

Southtown Womens Clinic LLC

  • Obstetrics & Gynecology Physician
  • Kansas City, MO
National Provider Identifier
1356398945
Registry record updated Oct 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
SOUTHTOWN WOMENS CLINIC LLC
Practice address
6400 Prospect Ave
Suite 546
Kansas City, MO 64132-1100
Phone
(816) 333-3131
Fax
(816) 333-2295
NPI assigned
May 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Patrick J Kueny
Title
VP
Phone
(816) 333-3131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

6400 Prospect Ave
Suite 546
Kansas City, MO 64132-1100

Mailing address

6400 Prospect Ave
Suite 546
Kansas City, MO 64132-1100
Phone (816) 333-3131

Other identifiers 2

IdentifierTypeStateIssuer
100643340AMedicaidKS
509274700MedicaidMO

National Provider Directory

National Provider Directory

Locations

2340 E Meyer Blvd
Ste 300
Kansas City, MO 64132
Phone (816) 333-3131

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255737600000",
    "number": "1356398945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 PROSPECT AVE",
            "address_2": "SUITE 546",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641321100",
            "telephone_number": "816-333-3131",
            "fax_number": "816-333-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 PROSPECT AVE",
            "address_2": "SUITE 546",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641321100",
            "telephone_number": "816-333-3131",
            "fax_number": "816-333-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHTOWN WOMENS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2009-10-17",
        "status": "A",
        "authorized_official_last_name": "KUENY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "816-333-3131"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100643340A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "509274700",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.