Shoal Creek Family Medicine And Allergy, PC
Family Medicine in Kansas City, MO. Organization (NPI-2).
NPI number1710056502
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1710056502
- Entity type
- Organization (NPI-2)
- Legal business name
- Shoal Creek Family Medicine And Allergy, PC
- Organization subpart
- No
- Enumeration date
- Nov 7, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 113071 | MO | Yes |
Other names
- Stapleton Family Health Center (Former Legal Business Name)
Practice location
9784 N Ash AvenueKansas City, MO 64157
Phone 816-781-4244 · Fax 816-781-3542
Mailing address
9784 N Ash AvenueKansas City, MO 64157
Phone 816-781-4244 · Fax 816-781-3542
Authorized official
Wendy Renee Stapleton
Practice Manager
8167814244
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