PRIMARY CARE CENTER OF KANSAS CITY LLC NPI 1386739035

NPI Information

PRIMARY CARE CENTER OF KANSAS CITY LLC is a primary care clinic center in Independence, MO. PRIMARY CARE CENTER OF KANSAS CITY LLC NPI is 1386739035. The provider is registered as an organization entity type.
The provider Other Name Is Primary Care Center Of Kansas City.

The provider's business location address is:

4741 S ARROWHEAD
SUITE B
INDEPENDENCE, MO
ZIP 64055
Phone: (816) 795-6000
Fax: (816) 795-6064

The provider's authorized official is Jan Lynn Johnson .
The authorized official title is Physician Owner and has the following contact phone number (816) 795-6000.

The CLIA number assigned to this NPI record is 26D1010668 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 5/14/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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