Covenant Optimized Living Llc | |
4910 Frederick Ave Saint Joseph MO 64506-3246 | |
(816) 233-3700 | |
(816) 233-3754 |
Full Name | Covenant Optimized Living Llc |
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Speciality | Internal Medicine |
Location | 4910 Frederick Ave, Saint Joseph, Missouri |
Authorized Official Name and Position | Kari J Haywood (BILLING MANAGER) |
Authorized Official Contact | 8162333700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Covenant Optimized Living Llc 4910 Frederick Ave Saint Joseph MO 64506-3246 Ph: (816) 233-3700 | Covenant Optimized Living Llc 4910 Frederick Ave Saint Joseph MO 64506-3246 Ph: (816) 233-3700 |
NPI Number | 1467728303 |
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Provider Enumeration Date | 03/26/2012 |
Last Update Date | 03/26/2012 |
Identifier | Type | State | Issuer |
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1467728303 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 112571 (Missouri) | Primary |