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NPI Code Detail

MEDICARE: KANSAS CITY HOSPICE, INC

MEDICARE: KANSAS CITY HOSPICE, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251G00000XCommunity Based Hospice Care Agency064-20HOMO
2315D00000XInpatient Hospice064-20HOMO

General Provider Information

NPI Number : 1013093145
Entity Type Code : Organization
Provider Name (Legal Business Name) : KANSAS CITY HOSPICE, INC
Provider Business Mailing Address
First Line : 9001 STATE LINE RD STE 300
Second Line :
City : KANSAS CITY
State : MO
Zip : 64114-3212
Country : US
Telephone Number : 816-363-2600
Fax Number : 816-523-0068
Provider Business Practice Location Address
First Line : 12000 WORNALL RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64145-1117
Country : US
Telephone Number : 816-941-1000
Fax Number : 816-941-1500
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MR. DAVID WILEY
Credential :
Telephone Number : 816-363-2600
Provider Enumeration Date : 10/31/2006
Last Update Date : 04/06/2022

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Directions to “KANSAS CITY HOSPICE, INC ” Practice Location

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