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DR. KELLIE A WARK MD NPI 1619264199


NPI Information

NPI: 1619264199
Provider Name: DR. KELLIE A WARK, MD
Classification: Internal Medicine - 207RI0200X
Entity Type: Individual

Specialization: Infectious Disease

PECOS Registration: Yes

Address:
3901 RAINBOW BLVD
6067 DELP, MAIL STOP 1028
KANSAS CITY, KS
ZIP 66160
Phone: (913) 588-6035
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DR. Kellie A Wark, MD is an infectious disease internal medicine in Kansas City, KS with 13 years of experience. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. DR. Kellie A Wark, MD NPI is 1619264199. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduation Year:2011

The provider's business location address is:

3901 RAINBOW BLVD
6067 DELP, MAIL STOP 1028
KANSAS CITY, KS
ZIP 66160
Phone: (913) 588-6035
Fax: (913) 945-6916

The NPI 1619264199 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/5/2011 and was last updated on 1/19/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine9407723KANSASNo
2207RI0200XInternal MedicineInfectious Disease04-40400KANSASYes
3207RI0200XInternal MedicineInfectious DiseaseMD60652501WASHINGTONNo
4207RI0200XInternal MedicineInfectious Disease9407723KANSASNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.