NPI 1770608135
Kcmosd
Practice location
- Address
- 3221 Indiana Ave, Kansas City, MO 64128-2062
- Phone
- (816) 418-2075
- Mailing address
- 1215 E Truman Rd, Kansas City, MO 64106-3152
Authorised official
- Name
- Kcmo Sd
- Title
- Clinic
- Phone
- (816) 418-8653
Registered specialties
Public Health or Welfare Agency
Primary
Registry record
- NPI
- 1770608135
- Entity type
- Organization
- NPI issued
- 21 Mar 2007
- Record last updated
- 22 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.