Basic Information
Provider Information
NPI: 1295091106
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KANCEL
FirstName: ANNE
MiddleName: H.
NamePrefix: MS.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8717 W 110TH ST STE 600
Address2:  
City: OVERLAND PARK
State: KS
PostalCode: 662102126
CountryCode: US
TelephoneNumber: 9134282910
FaxNumber: 9134282951
Practice Location
Address1: 8717 W 110TH ST STE 600
Address2:  
City: OVERLAND PARK
State: KS
PostalCode: 662102126
CountryCode: US
TelephoneNumber: 9134282910
FaxNumber: 9134282951
Other Information
ProviderEnumerationDate: 04/04/2012
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X2016010256MOY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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