EXCELSIOR SPRINGS PEDIATRIC CLINIC

EXCELSIOR SPRINGS, MO
NPI1568750420
Entity TypeOrganization
Authorized ContactKELLI L BOWMAN
Office Manager
816-637-0117
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
(Licence: MO  R6H00)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: MO  2011006205)
Enumeration Date2011-07-13
Last Update Date2011-07-13
Business Address
EXCELSIOR SPRINGS PEDIATRIC CLINIC
1006 N JESSE JAMES RD STE 2
EXCELSIOR SPRINGS, MO 64024-1202
Phone number: 816-637-0117
Mailing Address
EXCELSIOR SPRINGS PEDIATRIC CLINIC
1006 N JESSE JAMES RD STE 2
EXCELSIOR SPRINGS, MO 64024-1202
Phone number: 816-637-0117