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NPI Code Detail

MEDICARE: SCHOOL DISTRICT OF KANSAS CITY, MO

MEDICARE: SCHOOL DISTRICT OF KANSAS CITY, MO
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
1261QS1000XStudent Health Clinic/Center

General Provider Information

NPI Number : 1487890778
Entity Type Code : Organization
Provider Name (Legal Business Name) : SCHOOL DISTRICT OF KANSAS CITY, MO
Provider Business Mailing Address
First Line : 1215 E. TRUMAN ROAD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64106-3152
Country : US
Telephone Number : 816-418-8653
Fax Number : 816-418-8646
Provider Business Practice Location Address
First Line : 3221 INDIANA AVE.
Second Line :
City : KANSAS CITY
State : MO
Zip : 64128
Country : US
Telephone Number : 816-418-2080
Fax Number : 816-418-2079
Authorized Official
Title or Position : SCHOOL BASED SCHOOL LINKED SERVICES
Name : MS. FELICIA D. SAFIR
Credential :
Telephone Number : 816-418-8647
Provider Enumeration Date : 12/17/2008
Last Update Date : 12/17/2008

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