Kenneth Patrick Collins, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

2017005395 Issued in MO

Practice address

2529 Glenn Hendren Dr Ste 202
Liberty, MO 64068-9602

Phone

(816) 781-8400

Fax

(816) 781-8263

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Urology Center of Chester County P C

  • Urology Physician
  • West Chester, PA
  • NPI 1952344731
  NPD (past) Authorized official

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1679504906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8551 BLUEJACKET ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662141656",
            "telephone_number": "913-341-7985",
            "fax_number": "913-647-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 GLENN HENDREN DR STE 202",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640689602",
            "telephone_number": "816-781-8400",
            "fax_number": "816-781-8263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10701 Nall Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662111244",
            "country_code": "US",
            "telephone_number": "913-647-4151",
            "fax_number": "913-647-4175",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2750 Clay Edwards Dr Ste 500",
            "address_purpose": "LOCATION",
            "city": "North Kansas City",
            "state": "MO",
            "postal_code": "641163258",
            "country_code": "US",
            "telephone_number": "816-842-6717",
            "fax_number": "816-842-2574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "KENNETH",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "KS",
            "license": "04-39708",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MO",
            "license": "2017005395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anastasia Coleman
• Terrence W Coleman, MD
• Coleman's Home Care 4 Ullc (Nurse Next Door Liberty MO)
• Daniel Thomas Colgan, DDS
• College St Healthcare LLC (Avalon View Health and Wellness)
• Molly Joanna Collins, MA, LPC, NCC
• Jordan Colyer
• Complete PT, LLC
• Comprehensive Foot Centers, P.a.
• Kim Conard

• Urology Physician in Liberty, MO
• Providers in Liberty, MO by specialty
• Urology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.