Individual provider · NPI-1

Dr. Avery Thomas Abernathy, D.O.

Family Medicine · Kansas City, MO

NPI number1013207836
StatusActive
Last updated in NPPESJul 17, 2019

Details

NPI
1013207836
Entity type
Individual (NPI-1)
Name
Dr. Avery Thomas Abernathy
Credential
D.O.
Sex
Male
Sole proprietor
No
Enumeration date
Apr 13, 2011
Last updated
Jul 17, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine2012038578MOYes

Practice location

6450 N Chatham Ave
Kansas City, MO 64151-2403

Phone 816-741-5542 · Fax 816-746-4262

Mailing address

6450 N Chatham Ave
Kansas City, MO 64151-2403

Phone 816-741-5542 · Fax 816-746-4262

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