| Carondelet Family Medical Care | |
|
930 Carondelet Dr Suite 304 Kansas City MO 64114-4855 | |
| (816) 943-7777 | |
| (816) 943-7778 |
| Full Name | Carondelet Family Medical Care |
|---|---|
| Speciality | Family Medicine |
| Location | 930 Carondelet Dr, Kansas City, Missouri |
| Authorized Official Name and Position | Steven R Cleary (VP/CFO) |
| Authorized Official Contact | 8169432819 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carondelet Family Medical Care 801 Nw Saint Mary Dr Suite 230 Blue Springs MO 64014-2524 Ph: (816) 655-5791 | Carondelet Family Medical Care 930 Carondelet Dr Suite 304 Kansas City MO 64114-4855 Ph: (816) 943-7777 |
| NPI Number | 1982018719 |
|---|---|
| Provider Enumeration Date | 06/19/2014 |
| Last Update Date | 06/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982018719 | NPI | - | NPPES |
| 39532013 | Other | BCBS OF KANSAS CITY | |
| 501269500 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Missouri) | Primary |
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