Gracie Ann Allan
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Kansas City, KS
NPI 1700728664 · NPPES record last updated Jun 24, 2026
Key facts
- NPI
- 1700728664
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- 94-12627 (KS)
- Practice address
- 3901 Rainbow Blvd # Ms 3045
Kansas City, KS 66160-8500 - Phone
- (913) 588-1227
- Fax
- (913) 588-3365
- NPI assigned
- Apr 8, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260627000187 | KS | Order and Referring Only - Pathology |
1052884335 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 94-12627 | KS | Yes |
Addresses
Primary practice location
3901 Rainbow Blvd # Ms 3045
Kansas City, KS 66160-8500
Mailing address
3901 Rainbow Blvd # Ms 3045
Kansas City, KS 66160-8500
Phone (913) 588-1227
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All providers in Kansas City, KS · Anatomic Pathology & Clinical Pathology Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.