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1548989502
KCPEDSRD LLC
LEES SUMMIT, MO
NPI
1548989502
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Entity Type
Organization
Authorized Contact
ALEXANDRA MAE GREGG
Dietitian
816-875-0077
Organization Subpart ?
No
Primary Taxonomy
261QM2500X Clinic/Center, Medical Specialty
Enumeration Date
2022-08-24
Last Update Date
2022-11-08
Business Address
KCPEDSRD LLC
2420 SW WINTERFIELD CT
LEES SUMMIT, MO 64081-4098
Phone number: 816-875-0077
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Mailing Address
KCPEDSRD LLC
8450 NW PRAIRIE VIEW RD # 1441
KANSAS CITY, MO 64153-1841
Phone number: 816-875-0077
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