Whitesides, Corey Michael

Whitesides, Corey Michael is an individual health care provider with primary practice located at 2790 Clay Edwards Dr Ste 600, Kansas City MO 64116-3276. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Whitesides, Corey Michael can be contacted via phone (816) 561-3003.

Contact Information

Primary practice address
2790 Clay Edwards Dr Ste 600 Kansas City MO 64116-3276
Phone: (816) 561-3003
Fax: (816) 889-1584
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2013013231 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2013013231 Missouri

Profile Details

NPI number 1689019614
LBN Legal business name Whitesides, Corey Michael
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2013
Last updated May 3rd, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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