Dynamic Horizons LLC
Family Medicine in Belton, MO. Organization (NPI-2).
NPI number1215768197
StatusActive
Last updated in NPPESAug 30, 2024
Details
- NPI
- 1215768197
- Entity type
- Organization (NPI-2)
- Legal business name
- Dynamic Horizons LLC
- Organization subpart
- No
- Enumeration date
- Aug 12, 2024
- Certification date
- Aug 30, 2024
- Last updated
- Aug 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Vitality Direct Primary Care (Doing Business As)
Practice location
8417 Clint DrBelton, MO 64012-5330
Phone 660-493-3007 · Fax 660-235-2114
Mailing address
8417 Clint DrBelton, MO 64012-5330
Phone 660-493-3007
Authorized official
Stephanie Ann Lersch
Owner
6604933007
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