Basic Information
Provider Information
NPI: 1851552350
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: EDWARDS
FirstName: SARAH
MiddleName: TURNIPSEED
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2401 GILLHAM RD
Address2:  
City: KANSAS CITY
State: MO
PostalCode: 641084619
CountryCode: US
TelephoneNumber: 8162343000
FaxNumber:  
Practice Location
Address1: 2401 GILLHAM RD
Address2:  
City: KANSAS CITY
State: MO
PostalCode: 641084619
CountryCode: US
TelephoneNumber: 8162343000
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/18/2008
LastUpdateDate: 01/27/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/27/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X2010010715MON Allopathic & Osteopathic PhysiciansPediatrics 
2080P0206X05-37552KSN Allopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
2080P0206X2010010715MOY Allopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology

No ID Information.


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