Primary Care North Kansas City Llc | |
5861 Nw 72nd St Kansas City MO 64151-1483 | |
(816) 741-2286 | |
(816) 587-2436 |
Full Name | Primary Care North Kansas City Llc |
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Speciality | Family Medicine |
Location | 5861 Nw 72nd St, Kansas City, Missouri |
Authorized Official Name and Position | Blake H Donaldson (MEMBER) |
Authorized Official Contact | 8167412286 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Primary Care North Kansas City Llc 5861 Nw 72nd St Kansas City MO 64151-1483 Ph: (816) 741-2286 | Primary Care North Kansas City Llc 5861 Nw 72nd St Kansas City MO 64151-1483 Ph: (816) 741-2286 |
NPI Number | 1518173632 |
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Provider Enumeration Date | 05/15/2007 |
Last Update Date | 03/27/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518173632 | NPI | - | NPPES |
248023939 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 106031 (Missouri) | Primary |
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