Individual provider · Type 1 NPI

Corey Michael Whitesides, P.A.-C

Medical Physician Assistant · Kansas City, MO

NPI number 1689019614 Active

Practice location

2790 Clay Edwards Dr, Ste 600
Kansas City, MO 64116-3276

Fax (816) 889-1584

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X2013013231 (MO)
Surgical Physician Assistant 363AS0400X2013013231 (MO)

Medical Physician Assistant: Definition to come...

91 other providers at this address

Other medical physician assistant providers in Kansas City

See all in Kansas City →

About NPI 1689019614

Corey Michael Whitesides, P.A.-C's National Provider Identifier is 1689019614, issued on May 3, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Kansas City, MO. The record was last updated on May 3, 2013.