NPI 1124609425
Orthopedic & Sports Medicine Center
Practice location
- Address
- 6301 N Lucerne Ave, Kansas City, MO 64151-3105
- Phone
- (816) 569-1802
- Fax
- (816) 569-1882
- Mailing address
- 3107 Frederick Ave STE B, Saint Joseph, MO 64506-3082
Authorised official
- Name
- Cheryl Ann Kidwell
- Title
- Practice Administrator
- Phone
- (816) 233-9888
Registered specialties
Orthopaedic Surgery Physician
Primary
Registry record
- NPI
- 1124609425
- Entity type
- Organization
- NPI issued
- 19 Apr 2021
- Record last updated
- 19 Apr 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.