| Jacobs Well Of Kansas City Ministries | |
|
5910 E Us Highway 40 Kansas City MO 64129-1153 | |
| (816) 923-2557 | |
| (816) 214-8853 |
| Full Name | Jacobs Well Of Kansas City Ministries |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5910 E Us Highway 40, Kansas City, Missouri |
| Authorized Official Name and Position | Karen Renee Allen (DIRECTOR) |
| Authorized Official Contact | 8169232557 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacobs Well Of Kansas City Ministries 5910 E Us Highway 40 Kansas City MO 64129-1153 Ph: (816) 923-2557 | Jacobs Well Of Kansas City Ministries 5910 E Us Highway 40 Kansas City MO 64129-1153 Ph: (816) 923-2557 |
| NPI Number | 1245358001 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 06/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245358001 | NPI | - | NPPES |
| 490104007 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2005041497 (Missouri) | Primary |
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