| Bannister Internal Medicine Clinic, Llc | |
|
9520 James A Reed Rd Suite B Kansas City MO 64134-1689 | |
| (816) 599-6317 | |
| (816) 599-6319 |
| Full Name | Bannister Internal Medicine Clinic, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 9520 James A Reed Rd, Kansas City, Missouri |
| Authorized Official Name and Position | Fatima H Khan (OWNER) |
| Authorized Official Contact | 8165996317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bannister Internal Medicine Clinic, Llc 9520 James A Reed Rd Suite B Kansas City MO 64134-1689 Ph: (816) 599-6317 | Bannister Internal Medicine Clinic, Llc 9520 James A Reed Rd Suite B Kansas City MO 64134-1689 Ph: (816) 599-6317 |
| NPI Number | 1013395235 |
|---|---|
| Provider Enumeration Date | 05/07/2015 |
| Last Update Date | 07/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013395235 | NPI | - | NPPES |
| 1881914034 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 2010019768 (Missouri) | Primary |
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