Provider Demographics
NPI:1730415597
Name:HENNES, EMILY M (PA)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:M
Last Name:HENNES
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Gender:F
Credentials:PA
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Mailing Address - Street 1:2790 CLAY EDWARDS DR
Mailing Address - Street 2:STE 600
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-3276
Mailing Address - Country:US
Mailing Address - Phone:816-561-3003
Mailing Address - Fax:816-889-1584
Practice Address - Street 1:19550 E 39TH ST S
Practice Address - Street 2:STE 410
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64057-2303
Practice Address - Country:US
Practice Address - Phone:816-303-2400
Practice Address - Fax:816-303-2484
Is Sole Proprietor?:No
Enumeration Date:2009-10-28
Last Update Date:2009-10-28
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Provider Licenses
StateLicense IDTaxonomies
MOPENDING363AM0700X, 363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical