| His Temple | |
|
300 E 39th St # 57 Kansas City MO 64111-1531 | |
| (816) 237-7115 | |
| Not Available |
| Full Name | His Temple |
|---|---|
| Speciality | Clinic/center |
| Location | 300 E 39th St # 57, Kansas City, Missouri |
| Authorized Official Name and Position | Nicole Rochelle Smith (NURSE PRACTITIONER/OWNER) |
| Authorized Official Contact | 8163771551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| His Temple 300 E 39th St # 57 Kansas City MO 64111-1531 Ph: (816) 237-7115 | His Temple 300 E 39th St # 57 Kansas City MO 64111-1531 Ph: (816) 237-7115 |
| NPI Number | 1043978802 |
|---|---|
| Provider Enumeration Date | 11/29/2021 |
| Last Update Date | 11/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043978802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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