Primary Care Center Of Kansas City LLC
Clinic/Center, Primary Care in Independence, MO. Organization (NPI-2).
NPI number1386739035
StatusActive
Last updated in NPPESMay 14, 2008
Details
- NPI
- 1386739035
- Entity type
- Organization (NPI-2)
- Legal business name
- Primary Care Center Of Kansas City LLC
- Organization subpart
- No
- Enumeration date
- Oct 4, 2006
- Last updated
- May 14, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | D0101786 | MO | Yes |
Other names
- Primary Care Center Of Kansas City (Other Name)
Practice location
4741 S ArrowheadSuite B
Independence, MO 64055
Phone 816-795-6000 · Fax 816-795-6064
Mailing address
Po Box 480497Kansas City, MO 64148
Phone 816-795-6000 · Fax 816-795-6064
Authorized official
Jan Lynn Johnson
Physician Owner
8167956000
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