Basic Information
Provider Information
NPI: 1285989590
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAVIOZ
FirstName: CAROLYN
MiddleName: K
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: KIM
OtherFirstName: CAROLYN
OtherMiddleName:  
OtherNamePrefix: DR.
OtherNameSuffix:  
OtherCredential: MD
OtherLastNameType: 1
Mailing Information
Address1: 6230 W 137TH ST APT 307
Address2:  
City: OVERLAND PARK
State: KS
PostalCode: 662233442
CountryCode: US
TelephoneNumber: 9135747044
FaxNumber:  
Practice Location
Address1: 12200 W 110TH ST
Address2:  
City: OVERLAND PARK
State: KS
PostalCode: 662104045
CountryCode: US
TelephoneNumber: 9135881227
FaxNumber: 9135742650
Other Information
ProviderEnumerationDate: 07/24/2012
LastUpdateDate: 09/17/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0001X04-42523KSY Allopathic & Osteopathic PhysiciansRadiologyRadiation Oncology

No ID Information.


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