Organization Active NPI

Kansas City Clinical Neurology Associates, LTD.

  • Neurology Physician
  • Lees Summit, MO
National Provider Identifier
1922040799
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
KANSAS CITY CLINICAL NEUROLOGY ASSOCIATES, LTD.
Practice address
276 NE Tudor Rd
Lees Summit, MO 64086-5696
Phone
(816) 524-1700
Fax
(816) 524-1794
NPI assigned
Jun 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lillie Luellen
Title
Office Manager
Phone
(816) 524-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

276 NE Tudor Rd
Lees Summit, MO 64086-5696

Mailing address

276 NE Tudor Rd
Lees Summit, MO 64086-5696
Phone (816) 524-1700

Other names 1

  • KCCNA Other name

National Provider Directory

National Provider Directory

Locations

2340 E Meyer Blvd
Ste 316
Kansas City, MO 64132
Phone (816) 363-2559

1980 SE Blue Pkwy
Ste 2130
Lees Summit, MO 64063
Phone (816) 350-4200

1980 SE Blue Pkwy
Ste 2320
Lees Summit, MO 64063
Phone (816) 607-2950

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": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922040799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 NE TUDOR RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865696",
            "telephone_number": "816-524-1700",
            "fax_number": "816-524-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 NE TUDOR RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865696",
            "telephone_number": "816-524-1700",
            "fax_number": "816-524-1794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS CITY CLINICAL NEUROLOGY ASSOCIATES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUELLEN",
        "authorized_official_first_name": "LILLIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "816-524-1700"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KCCNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.