| |
19550 E 39th St S Suite 419 Independence MO 64057-2303 | |
(816) 795-8200 | |
(816) 795-7735 |
Full Name | |
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Speciality | Family Medicine - Sports Medicine |
Location | 19550 E 39th St S, Independence, Missouri |
Authorized Official Name and Position | Patrick J Kueny (VICE PRESIDENT) |
Authorized Official Contact | 8165084090 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
19550 E 39th St S Suite 419 Independence MO 64057-2303 Ph: (816) 795-8200 | 19550 E 39th St S Suite 419 Independence MO 64057-2303 Ph: (816) 795-8200 |
NPI Number | 1841462314 |
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Provider Enumeration Date | 03/25/2008 |
Last Update Date | 12/16/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841462314 | NPI | - | NPPES |
200584160 B | Medicaid | KS | |
200584160 A | Medicaid | KS | |
1841462314 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
208M00000X | Hospitalist | (* (Not Available)) | Secondary |
Amky Health Medical Specialists Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 19600 E 39th St S, Independence, MO 64057 Phone: 678-982-3590 Fax: 314-738-2088 | |
Medbasics Missouri Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4201 S Noland Rd, Independence, MO 64055 Phone: 816-373-9901 Fax: 816-373-9905 | |
Independence Group Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19045 E Valley View Pkwy Ste G, Independence, MO 64055 Phone: 281-429-8526 | |
P&c Healthcare Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 19600 E 39th St S, Independence, MO 64057 Phone: 913-222-9779 | |
Jackson County Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17221 E 23rd St S, Suite 100, Independence, MO 64057 Phone: 816-350-0005 |