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Children'S Mercy-Cockerell And McIntosh Pediatrics, INC

Pediatrics in Blue Springs, MO. Organization (NPI-2).

NPI number1811528656
StatusActive
Last updated in NPPESApr 10, 2025

Details

NPI
1811528656
Entity type
Organization (NPI-2)
Legal business name
Children'S Mercy-Cockerell And McIntosh Pediatrics, INC
Organization subpart
No
Enumeration date
Jan 30, 2020
Certification date
Apr 10, 2025
Last updated
Apr 10, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics––Yes

Other names

  • Cockerell And McIntosh Pediatrics- An Affiliate Of Children'S Mercy (Other Name)

Practice location

1203 S 7 Hwy
Blue Springs, MO 64014-3539

Phone 816-228-4770

Mailing address

2401 Gillham Rd,
Attn: Provider Enrollment Dept
Kansas City, MO 64108-4619

Phone 816-701-5200

Authorized official

Robert D. Finuf
Senior Vice President
8167015200

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