| |
706 W 42nd St, Kansas City, MO 64111-3120 | |
(816) 931-0177 | |
(816) 561-4592 |
Full Name | |
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Type | Facility |
Speciality | Local Education Agency (lea) |
Location | 706 W 42nd St, Kansas City, Missouri |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1750615431 | NPI | - | NPPES |
Mailing Address | Practice Location Address |
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706 W 42nd St, Kansas City, MO 64111-3120 Ph: (816) 931-0177 | 706 W 42nd St, Kansas City, MO 64111-3120 Ph: (816) 931-0177 |