| NPI | 1497182539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANEATA JANET DOWELL Admin 816-531-0930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology |
| Additional Taxonomies | 207KA0200X Allergy & Immunology Allergy |
| 364SA2200X Clinical Nurse Specialist Adult Health (Licence: KS 5374362022) | |
| 207RG0300X Internal Medicine Geriatric Medicine (Licence: KS 04-22651) | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 332900000X Non-Pharmacy Dispensing Site | |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2024-07-10 |