Basic Information
Provider Information
NPI: 1619195500
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: UHLENHAKE
FirstName: MOLLY
MiddleName: AMELIA
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2310 HOLMES ST
Address2: STE 800
City: KANSAS CITY
State: MO
PostalCode: 641082602
CountryCode: US
TelephoneNumber: 8164048188
FaxNumber:  
Practice Location
Address1: 2301 HOLMES ST
Address2:  
City: KANSAS CITY
State: MO
PostalCode: 641082640
CountryCode: US
TelephoneNumber: 8164041000
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/23/2007
LastUpdateDate: 08/20/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X2010015955MON Allopathic & Osteopathic PhysiciansInternal Medicine 
208000000X2010015955MOY Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


Home