in Kansas City - Family Medicine

- NPI 1053362681

is a Family Medicine in Kansas City, Missouri. practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for is 1053362681. The last update date is .

's current location address is 901 E. 104th St., Kansas City, Missouri. You can contact this provider via phone number 8165027104 and fax number 8169329670. The mailing address for is 901 E. 104th St., Kansas City, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 901 E. 104th St., Kansas City, Missouri
Phone Number 8165027104
Fax Number 8169329670
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1053362681
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 901 E. 104th St.
City Kansas City
State Missouri (MO)
Post Code 641319712
Phone Number 8165027104
Fax Number 8169329670

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 2006004613
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1053362681 MO --

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