| Enhanced Health And Wellness | |
|
1325 S Noland Rd Independence MO 64055-1303 | |
| (816) 252-6647 | |
| (816) 252-0012 |
| Full Name | Enhanced Health And Wellness |
|---|---|
| Speciality | Internal Medicine |
| Location | 1325 S Noland Rd, Independence, Missouri |
| Authorized Official Name and Position | Arporn Siriwangchai (VICE PRESIDENT) |
| Authorized Official Contact | 8162526647 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Enhanced Health And Wellness 1325 S Noland Rd Ste C Independence MO 64055-1346 Ph: (816) 252-6647 | Enhanced Health And Wellness 1325 S Noland Rd Independence MO 64055-1303 Ph: (816) 252-6647 |
| NPI Number | 1942252945 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 04/08/2022 |
| Medicare PECOS PAC ID | 0446241483 |
|---|---|
| Medicare Enrollment ID | O20040519001198 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942252945 | NPI | - | NPPES |
| 10365019 | Other | MO | BCBS OF KANSAS CITY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Kulnarin Gay Purcell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265484323 PECOS PAC ID: 7517983372 Enrollment ID: I20051020000664 |
| Provider Name | Steffany Brockman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114366754 PECOS PAC ID: 8224353503 Enrollment ID: I20150209000115 |
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