| Sme Kentucky Psc | |
|
1851 Nw 38th St Apt 201 Kansas City MO 64116-4634 | |
| (678) 977-5507 | |
| Not Available |
| Full Name | Sme Kentucky Psc |
|---|---|
| Speciality | General Practice |
| Location | 1851 Nw 38th St Apt 201, Kansas City, Missouri |
| Authorized Official Name and Position | Olubusola Brimmo (OWNER) |
| Authorized Official Contact | 6789775507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sme Kentucky Psc 4321 Collington Rd Bowie MD 20716-2259 Ph: () - | Sme Kentucky Psc 1851 Nw 38th St Apt 201 Kansas City MO 64116-4634 Ph: (678) 977-5507 |
| NPI Number | 1295208403 |
|---|---|
| Provider Enumeration Date | 01/10/2019 |
| Last Update Date | 08/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295208403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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