Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | MDR9J30 | MO |
NPI | 1063460079 |
---|---|
Provider Name | Dr. Catherine Ong Simon |
First Address | Leawood, KS 66224-3941 |
Second Address | Kansas City, MO 64108 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 18/06/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
203397617 | (05) | MO |
2050375101 | (05) | KS |
F47762 | (02) | MO |