Basic Information
| Provider Information | |||||||||
| NPI: | 1245469998 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HAAS | ||||||||
| FirstName: | KAREN | ||||||||
| MiddleName: | JEAN | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2000 SE BLUE PKWY | ||||||||
| Address2: | # 270-A | ||||||||
| City: | LEES SUMMIT | ||||||||
| State: | MO | ||||||||
| PostalCode: | 640631041 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8165241700 | ||||||||
| FaxNumber: | 8165241794 | ||||||||
| Practice Location | |||||||||
| Address1: | 2000 SE BLUE PKWY | ||||||||
| Address2: | # 270-A | ||||||||
| City: | LEES SUMMIT | ||||||||
| State: | MO | ||||||||
| PostalCode: | 640631041 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8165241700 | ||||||||
| FaxNumber: | 8165241794 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/02/2009 | ||||||||
| LastUpdateDate: | 02/21/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084N0400X | 05-36796 | KS | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology |
ID Information
| ID | Type | State | Issuer | Description | FH4128458 | 01 | KS | DEA | OTHER | 201084650A | 05 | KS | MEDICAID |