| Liberty Hospital Primary Care Shoal Creek | |
|
8380 N Tullis Ave Suite 300 Kansas City MO 64158 | |
| (816) 415-3451 | |
| Not Available |
| Full Name | Liberty Hospital Primary Care Shoal Creek |
|---|---|
| Speciality | Family Medicine |
| Location | 8380 N Tullis Ave, Kansas City, Missouri |
| Authorized Official Name and Position | David Feess (PRESIDENT AND CEO) |
| Authorized Official Contact | 8167817200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty Hospital Primary Care Shoal Creek Po Box 219672 Kansas City MO 64121-9672 Ph: (816) 407-4555 | Liberty Hospital Primary Care Shoal Creek 8380 N Tullis Ave Suite 300 Kansas City MO 64158 Ph: (816) 415-3451 |
| NPI Number | 1821518630 |
|---|---|
| Provider Enumeration Date | 06/22/2017 |
| Last Update Date | 04/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821518630 | NPI | - | NPPES |
| 57333017 | Other | MO | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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