IndividualActive
Justin Coogle, MD
NPI 1114480241 · Neurology with Special Qualifications in Child Neurology Physician · Kansas City, MO
Provider details
- NPI number
- 1114480241
- Entity type
- Individual
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2021032815 (MO)
Specialties & taxonomies
- Neurology with Special Qualifications in Child Neurology PhysicianPrimary2084N0402XLicense 2021032815 (MO)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2401 Gillham Rd
Kansas City, MO 64108-4619
Phone: (816) 234-3000
Approximate (ZIP-level) locationGet directions
Mailing address
2401 Gillham Rd
Kansas City, MO 64108-4619
Additional practice locations (1)
- 1500 Sw 10th AveTopeka, KS 66604-1301Phone: (785) 354-6000
Registry dates
- Enumerated
- 2019-04-06
- Last updated
- 2026-03-10
- Certified
- 2026-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.