Basic Information
Provider Information
NPI: 1780608034
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CRESWELL
FirstName: VALERIE
MiddleName: ANNE
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: ROHLMAN
OtherFirstName: VALERIE
OtherMiddleName: ANNE
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: MD
OtherLastNameType: 1
Mailing Information
Address1: 4801 E LINWOOD BLVD
Address2:  
City: KANSAS CITY
State: MO
PostalCode: 641282226
CountryCode: US
TelephoneNumber: 8168614700
FaxNumber:  
Practice Location
Address1: 4801 E LINWOOD BLVD
Address2:  
City: KANSAS CITY
State: MO
PostalCode: 641282226
CountryCode: US
TelephoneNumber: 8168614700
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/27/2006
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
207RI0200X04-21893KSY Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease

No ID Information.


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