| Wound Solutions Of Kansas City Llc | |
|
7926 E 171st St Ste 111 Belton MO 64012-5310 | |
| (214) 422-8172 | |
| Not Available |
| Full Name | Wound Solutions Of Kansas City Llc |
|---|---|
| Speciality | General Practice |
| Location | 7926 E 171st St Ste 111, Belton, Missouri |
| Authorized Official Name and Position | Isaac Kevin Brooks (OWNER) |
| Authorized Official Contact | 2144228172 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound Solutions Of Kansas City Llc 7926 E 171st St Ste 111 Belton MO 64012-5310 Ph: (214) 422-8172 | Wound Solutions Of Kansas City Llc 7926 E 171st St Ste 111 Belton MO 64012-5310 Ph: (214) 422-8172 |
| NPI Number | 1114781812 |
|---|---|
| Provider Enumeration Date | 02/13/2024 |
| Last Update Date | 02/13/2024 |
| Medicare PECOS PAC ID | 0345687562 |
|---|---|
| Medicare Enrollment ID | O20240325000661 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114781812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Kimberly Neely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841239738 PECOS PAC ID: 5698765204 Enrollment ID: I20240325000713 |
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