Beth Anne Abraham, M.D.
Individual provider Active NPI Pediatrics Physician · Kansas City, KS
NPI 1811192529 · NPPES record last updated Mar 22, 2011
Key facts
- NPI
- 1811192529
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 434356 (KS)
- Practice address
- 21 N. 12TH St, Suite 300
Turner House Children'S Clinic
Kansas City, KS 66102 - Phone
- (913) 342-2552
- Fax
- (913) 342-3220
- NPI assigned
- Jun 20, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 434356 | KS | MD | Pediatrics Physician |
| 43464 | TN | MD | Pediatrics Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 43464 | TN | |
| Pediatrics Physician | 208000000X | 434356 | KS | Yes |
Addresses
Primary practice location
21 N. 12TH St, Suite 300
Turner House Children'S Clinic
Kansas City, KS 66102
Mailing address
21 N. 12TH St, Suite 300
Turner House Children'S Clinic
Kansas City, KS 66102
Phone (913) 342-2552
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200681560A | Medicaid | KS |
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All providers in Kansas City, KS · Pediatrics 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 Mar 22, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.