| Trinity Primary Care Clinic | |
|
520 W 103rd St Ste 172 Kansas City MO 64114-4503 | |
| (913) 961-1478 | |
| Not Available |
| Full Name | Trinity Primary Care Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 520 W 103rd St Ste 172, Kansas City, Missouri |
| Authorized Official Name and Position | Tiwana Allen (APRN) |
| Authorized Official Contact | 9139611478 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Primary Care Clinic 520 W 103rd St Ste 172 Kansas City MO 64114-4503 Ph: () - | Trinity Primary Care Clinic 520 W 103rd St Ste 172 Kansas City MO 64114-4503 Ph: (913) 961-1478 |
| NPI Number | 1922358084 |
|---|---|
| Provider Enumeration Date | 09/17/2012 |
| Last Update Date | 09/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922358084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 155480 (Missouri) | Primary |
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