| Hickman Mills Clinic, Inc. | |
|
11201 Colorado Ave Kansas City MO 64137-2502 | |
| (816) 763-5200 | |
| (816) 763-7124 |
| Full Name | Hickman Mills Clinic, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 11201 Colorado Ave, Kansas City, Missouri |
| Authorized Official Name and Position | Donald D Palmer (ADMINISTRATOR) |
| Authorized Official Contact | 8167635200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hickman Mills Clinic, Inc. 11201 Colorado Ave Kansas City MO 64137-2502 Ph: (816) 763-5200 | Hickman Mills Clinic, Inc. 11201 Colorado Ave Kansas City MO 64137-2502 Ph: (816) 763-5200 |
| NPI Number | 1073583373 |
|---|---|
| Provider Enumeration Date | 01/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073583373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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