Basic Information
Provider Information
NPI: 1194384222
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SEMMES
FirstName: KARI
MiddleName: ANNE
NamePrefix: MRS.
NameSuffix:  
Credential: PA-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 901 E 104TH ST
Address2: MAILSTOP 400
City: KANSAS CITY
State: MO
PostalCode: 641314517
CountryCode: US
TelephoneNumber: 8165999499
FaxNumber: 8169329670
Practice Location
Address1: 4320 WORNALL RD STE 710
Address2:  
City: KANSAS CITY
State: MO
PostalCode: 641113246
CountryCode: US
TelephoneNumber: 8169322700
FaxNumber: 8169322705
Other Information
ProviderEnumerationDate: 06/12/2019
LastUpdateDate: 09/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/21/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363AS0400X312959LAY Physician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical

No ID Information.


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