NPI 1730134495
State of Missouri
Practice location
- Address
- 1000 E 24th St, Kansas City, MO 64108-2776
- Phone
- (816) 512-7000
- Fax
- (816) 512-7509
- Mailing address
- PO Box 687 1706 E Elm St, Jefferson City, MO 65102-0687
Authorised official
- Name
- Molly Jane Boeckmann
- Title
- Director of Administrative Services
- Phone
- (573) 751-4055
Registered specialties
Psychiatric Hospital
Primary
Registry record
- NPI
- 1730134495
- Entity type
- Organization
- NPI issued
- 23 May 2006
- Record last updated
- 26 Aug 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.