| Kansas City Indian Center | |
|
600 W 39th St Kansas City MO 64111-2910 | |
| (816) 421-7608 | |
| (816) 421-6493 |
| Full Name | Kansas City Indian Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 600 W 39th St, Kansas City, Missouri |
| Authorized Official Name and Position | Patrick P Pruitt (MORNINGSTAR PROGRAM DIRECTOR) |
| Authorized Official Contact | 8164217608 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kansas City Indian Center 600 W 39th St Kansas City MO 64111-2910 Ph: (816) 421-7608 | Kansas City Indian Center 600 W 39th St Kansas City MO 64111-2910 Ph: (816) 421-7608 |
| NPI Number | 1750857827 |
|---|---|
| Provider Enumeration Date | 10/16/2018 |
| Last Update Date | 10/05/2020 |
| Certification Date | 10/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750857827 | NPI | - | NPPES |
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