Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kansas City Internal Medicine PA

Organization Internal Medicine Physician · NPI 1316969884

Kansas City Internal Medicine PA is an Internal Medicine Physician in Overland Park, Kansas. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12140 Nall Ave Ste 100
Overland Park, KS 66209-2504
Phone: (913) 451-8500
Fax: (913) 451-1754
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 111706 (MO)
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X · Licence 103093 (MO)

Record details

NPI number1316969884
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jean Hansen — Ceo · (913) 319-7303
NPI enumeratedJuly 24, 2006
Last updated in NPPESOctober 23, 2014
Mailing address12140 Nall Ave, Suite 100, Overland Park, KS 66209-2504

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