Sandra Joann Edwards
General Practice Physician
1610 Washington Blvd
Kansas City
, Kansas 66102-2842
Sandra Joann Edwards
General Practice Physician
1610 Washington Blvd
Kansas City
, Kansas 66102-2842
(913) 248-9383
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Sandra Joann Edwards
- Po Box 879985
- Kansas City, MO
- Zip : 64187-0001
- Fax : (913) 248-9383
- Phone : (913) 248-9693
Second Address
- Sandra Joann Edwards
- 1610 Washington Blvd
- Kansas City, KS
- Zip : 66102-2842
- Fax : (913) 281-0087
- Phone : (913) 281-2605
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | 22912 | KS |
National Provider Identifier
| NPI | 1043353790 |
|---|---|
| Provider Name | Sandra Joann Edwards |
| First Address | Kansas City, MO 64187-0001 |
| Second Address | Kansas City, KS 66102-2842 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/02/2007 |
| Last Update Date | 21/09/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E49969 | (02) | |
| P00401883 | RAILROAD MEDICARE (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.