| Midwest Infectious Disease Specialists Llc | |
|
19201 E Valley View Pkwy Suite G Independence MO 64055-6910 | |
| (816) 254-2552 | |
| (816) 833-4155 |
| Full Name | Midwest Infectious Disease Specialists Llc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 19201 E Valley View Pkwy, Independence, Missouri |
| Authorized Official Name and Position | Patrick J Kueny (VP) |
| Authorized Official Contact | 8162542552 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Infectious Disease Specialists Llc 19201 E Valley View Pkwy Suite G Independence MO 64055-6910 Ph: (816) 254-2552 | Midwest Infectious Disease Specialists Llc 19201 E Valley View Pkwy Suite G Independence MO 64055-6910 Ph: (816) 254-2552 |
| NPI Number | 1578510194 |
|---|---|
| Provider Enumeration Date | 05/28/2006 |
| Last Update Date | 03/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578510194 | NPI | - | NPPES |
| 507620706 | Medicaid | MO | |
| 200590210 A | Medicaid | KS | |
| 36315014 | Other | MO | BCBS OF KC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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