Individual provider · NPI-1

Miriam Melissa Baltuano Songhurst, M.D.

Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology · Kansas City, MO

NPI number1467802108
StatusActive
Last updated in NPPESDec 5, 2025

Details

NPI
1467802108
Entity type
Individual (NPI-1)
Name
Miriam Melissa Baltuano Songhurst
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Jun 14, 2016
Certification date
Dec 5, 2025
Last updated
Dec 5, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology2024019189MOYes

Practice location

2401 Gillham Rd
Kansas City, MO 64108-4619

Phone 816-234-3000 · Fax 816-302-9939

Mailing address

2401 Gillham Rd
Provider Enrollment Dept
Kansas City, MO 64108-4619

Phone 816-701-5200 · Fax 816-302-9939

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