NPI 1245300987
State of Missouri
Practice location
- Address
- 821 Admiral Blvd, Kansas City, MO 64106-1516
- Phone
- (816) 889-3400
- Fax
- (816) 889-3325
- Mailing address
- 1706 E Elm St, Jefferson City, MO 65101-4130
Authorised official
- Name
- Molly Jane Boeckmann
- Title
- Director of Administrative Services
- Phone
- (573) 751-4055
Registered specialties
Case Management Agency
Primary
Registry record
- NPI
- 1245300987
- Entity type
- Organization
- NPI issued
- 9 Nov 2006
- Record last updated
- 27 Oct 2020
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.