Kansas City Geriatrics
Internal Medicine, Geriatric Medicine in Kansas City, MO. Organization (NPI-2).
NPI number1154792505
StatusActive
Last updated in NPPESFeb 19, 2021
Details
- NPI
- 1154792505
- Entity type
- Organization (NPI-2)
- Legal business name
- Kansas City Geriatrics
- Organization subpart
- No
- Enumeration date
- Oct 12, 2015
- Certification date
- Feb 19, 2021
- Last updated
- Feb 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0300X | Internal Medicine, Geriatric Medicine | 113250 | MO | Yes |
| 207Q00000X | Family Medicine | 2008021948 | MO |
Practice location
3014 Oak StKansas City, MO 64108-3240
Phone 816-931-5594
Mailing address
3014 Oak StKansas City, MO 64108-3240
Phone 816-931-5594
Authorized official
Kevin Eugene Farrrell
Owner
8169315594
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All 14 Geriatric Medicine (Internal Medicine) Physician providers in Kansas City · All 16,914 providers in Kansas City
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