| Jackson County Medical Group Llc | |
|
17221 E 23rd St S Suite 100 Independence MO 64057-1803 | |
| (816) 350-0005 | |
| Not Available |
| Full Name | Jackson County Medical Group Llc |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 17221 E 23rd St S, Independence, Missouri |
| Authorized Official Name and Position | Patrick J Kueny (VP) |
| Authorized Official Contact | 8163500005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson County Medical Group Llc 17221 E 23rd St S Suite 100 Independence MO 64057-1803 Ph: () - | Jackson County Medical Group Llc 17221 E 23rd St S Suite 100 Independence MO 64057-1803 Ph: (816) 350-0005 |
| NPI Number | 1144277880 |
|---|---|
| Provider Enumeration Date | 05/28/2006 |
| Last Update Date | 08/14/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144277880 | NPI | - | NPPES |
| 09139031 | Other | MO | BCBS OF KANSAS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
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