| Northside Clinic | |
|
2211 N 13th St Kansas City KS 66104-5649 | |
| (913) 233-1911 | |
| (913) 321-5185 |
| Full Name | Northside Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 2211 N 13th St, Kansas City, Kansas |
| Authorized Official Name and Position | Marvin Mcintosh (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9132331911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northside Clinic 2211 N 13th St Kansas City KS 66104-5649 Ph: (913) 233-1911 | Northside Clinic 2211 N 13th St Kansas City KS 66104-5649 Ph: (913) 233-1911 |
| NPI Number | 1538286091 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538286091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0428352 (Kansas) | Primary |
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