KCPEDSRD LLC

LEES SUMMIT, MO
NPI1548989502
Entity TypeOrganization
Authorized ContactALEXANDRA MAE GREGG
Dietitian
816-875-0077
Organization Subpart ?No
Primary Taxonomy261QM2500X Clinic/Center, Medical Specialty
Enumeration Date2022-08-24
Last Update Date2022-11-08
Business Address
KCPEDSRD LLC
2420 SW WINTERFIELD CT
LEES SUMMIT, MO 64081-4098
Phone number: 816-875-0077
Mailing Address
KCPEDSRD LLC
8450 NW PRAIRIE VIEW RD # 1441
KANSAS CITY, MO 64153-1841
Phone number: 816-875-0077