| Infectious Disease Associates Of Kansas City Pc | |
|
2340 E Meyer Blvd Bldg 2 Suite 392 Kansas City MO 64132-1105 | |
| (816) 822-8486 | |
| (816) 822-0490 |
| Full Name | Infectious Disease Associates Of Kansas City Pc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 2340 E Meyer Blvd Bldg 2, Kansas City, Missouri |
| Authorized Official Name and Position | Janet L Gordon (ADMINISTRATOR) |
| Authorized Official Contact | 8168228486 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Disease Associates Of Kansas City Pc 2340 E Meyer Blvd Bldg 2 Suite 392 Kansas City MO 64132-1105 Ph: (816) 822-8486 | Infectious Disease Associates Of Kansas City Pc 2340 E Meyer Blvd Bldg 2 Suite 392 Kansas City MO 64132-1105 Ph: (816) 822-8486 |
| NPI Number | 1649235037 |
|---|---|
| Provider Enumeration Date | 04/19/2006 |
| Last Update Date | 11/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649235037 | NPI | - | NPPES |
| 100114760A | Medicaid | KS | |
| 502397706 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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