Basic Information
| Provider Information | |||||||||
| NPI: | 1497929962 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | COX | ||||||||
| FirstName: | ERIN | ||||||||
| MiddleName: | ELAINE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | KENDRICK | ||||||||
| OtherFirstName: | ERIN | ||||||||
| OtherMiddleName: | E. | ||||||||
| OtherNamePrefix: | |||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | M.D. | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 5844 NW BARRY ROAD | ||||||||
| Address2: | SUITE 110 | ||||||||
| City: | KANSAS CITY | ||||||||
| State: | MO | ||||||||
| PostalCode: | 64154 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8168806100 | ||||||||
| FaxNumber: | 8167461226 | ||||||||
| Practice Location | |||||||||
| Address1: | 5844 NW BARRY ROAD | ||||||||
| Address2: | SUITE 110 | ||||||||
| City: | KANSAS CITY | ||||||||
| State: | MO | ||||||||
| PostalCode: | 64154 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8168806100 | ||||||||
| FaxNumber: | 8167461226 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/16/2008 | ||||||||
| LastUpdateDate: | 03/12/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 04-34242 | KS | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 2010025677 | MO | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 1497929962 | 05 | MO | MEDICAID |