IndividualActive
Judith Vansickle, MD
NPI 1174797385 · Pediatric Nephrology Physician · Kansas City, MO
Provider details
- NPI number
- 1174797385
- Entity type
- Individual
- Primary specialty
- Pediatric Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 2007029194 (MO)
Practice location
2401 Gillham Rd
Kansas City, MO 64108-4619
Phone: (816) 234-3010
Fax: (816) 234-3494
Mailing address
2401 Gillham Rd
Kansas City, MO 64108-4619
Registry dates
- Enumerated
- 2008-04-17
- Last updated
- 2015-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.