Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NR0200X | Radiology | 003816 | MO |
N | 213ER0200X | Radiology | 003816 | MO |
Y | 111NR0200X | Radiology | 0103264 | KS |
Y | 213ER0200X | Radiology | 0103264 | KS |
NPI | 1407996275 |
---|---|
Provider Name | Dr. Raymond Neil Conley |
First Address | Overland Park, KS 66210-1822 |
Second Address | Overland Park, KS 66210-1822 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2007 |
Last Update Date | 08/07/2007 |