OrganizationActive
Kansas City Cancer Center, LLC
NPI 1003864471 · Medical Oncology Physician · Overland Park, KS
Provider details
- NPI number
- 1003864471
- Entity type
- Organization
- Primary specialty
- Medical Oncology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Hennessy, Executive Director(913) 541-4607
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Hematology (Internal Medicine) Physician207RH0000X
Allopathic & Osteopathic Physicians
- Hematology & Oncology Physician207RH0003X
Allopathic & Osteopathic Physicians
- Radiation Oncology Physician2085R0001X
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
12200 W 110th St
Overland Park, KS 66210-4045
Phone: (913) 234-0400
Fax: (913) 234-0551
Approximate (ZIP-level) locationGet directions
Mailing address
9200 Indian Creek Pkwy
Overland Park, KS 66210-2002
Registry dates
- Enumerated
- 2006-05-05
- Last updated
- 2008-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.