Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 112513 | MO |
N | 111NI0900X | Internist | 112513 | MO |
Y | 207RH0002X | Hospice and Palliative Medicine | 112513 | MO |
NPI | 1215989439 |
---|---|
Provider Name | Dr. Ann Allegre |
First Address | Kansas City, MO 64114-1600 |
Second Address | Kansas City, MO 64114-1600 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 30/09/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1215989439 | (05) | MO |
C50462 | (02) |