BRIDGE INTEGRATIVE MEDICINE LLC NPI 1740784214

NPI Information

BRIDGE INTEGRATIVE MEDICINE LLC is a general practice in Kansas City, MO. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee BRIDGE INTEGRATIVE MEDICINE LLC NPI is 1740784214. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

305 NW ENGLEWOOD CT STE 200
KANSAS CITY, MO
ZIP 64118
Phone: (816) 454-5433
Fax: (816) 454-8455

The provider's authorized official is James A Wyllie .
The authorized official title is Chief Of Operations and has the following contact phone number (816) 454-5433.

The enumeration date for this NPI number is 3/20/2018 and was last updated on 7/23/2018.

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:

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