| Forest Park Neurology Llc | |
|
5811 E Truman Rd Kansas City MO 64126-2400 | |
| (816) 600-1816 | |
| (877) 274-1845 |
| Full Name | Forest Park Neurology Llc |
|---|---|
| Speciality | Psychologist - Prescribing (medical) |
| Location | 5811 E Truman Rd, Kansas City, Missouri |
| Authorized Official Name and Position | Ana V Angeles (PRACTICE COORDINATOR) |
| Authorized Official Contact | 8472512400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forest Park Neurology Llc 5811 E Truman Rd Kansas City MO 64126-2400 Ph: (816) 600-1816 | Forest Park Neurology Llc 5811 E Truman Rd Kansas City MO 64126-2400 Ph: (816) 600-1816 |
| NPI Number | 1972859510 |
|---|---|
| Provider Enumeration Date | 08/01/2012 |
| Last Update Date | 08/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972859510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | 1116914 (Missouri) | Primary |
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