Provider Demographics
NPI:1144339136
Name:MUNNS, STEPHEN W (MD)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:W
Last Name:MUNNS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3901 RAINBOW BLVD
Mailing Address - Street 2:4070 DELP, MS 4017
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160-7816
Mailing Address - Country:US
Mailing Address - Phone:913-588-6100
Mailing Address - Fax:913-588-8186
Practice Address - Street 1:3901 RAINBOW BLVD
Practice Address - Street 2:ORTHOPEDIC SURGERY, MS 3017
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160
Practice Address - Country:US
Practice Address - Phone:913-588-6100
Practice Address - Fax:913-588-8186
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2011-06-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS04-22494207X00000X, 207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
200024916OtherRAILROAD MEDICARE
KS626610OtherFIRSTGUARD
KS100209470AMedicaid
MO14312050OtherBCBS
MO202596607Medicaid
B55262Medicare UPIN
MO202596607Medicaid