Trinity Primary Care And Wound Specialists Llc | |
8039 State Ave Kansas City KS 66112-2454 | |
(913) 499-9320 | |
(913) 291-2340 |
Full Name | Trinity Primary Care And Wound Specialists Llc |
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Speciality | Clinic/Center |
Location | 8039 State Ave, Kansas City, Kansas |
Authorized Official Name and Position | Judith Mueni Kimatu (OWNER) |
Authorized Official Contact | 9134999320 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Trinity Primary Care And Wound Specialists Llc 8039 State Ave Kansas City KS 66112-2454 Ph: (913) 499-9320 | Trinity Primary Care And Wound Specialists Llc 8039 State Ave Kansas City KS 66112-2454 Ph: (913) 499-9320 |
NPI Number | 1710699285 |
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Provider Enumeration Date | 12/15/2022 |
Last Update Date | 12/15/2022 |
Medicare PECOS PAC ID | 0143679928 |
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Medicare Enrollment ID | O20231206001565 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710699285 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Judith M Kimatu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962794586 PECOS PAC ID: 0648441881 Enrollment ID: I20110920000907 |
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