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NPI Code Detail

MEDICARE: MR. EMMANUEL GARCIA PA-C

MEDICARE: MR. EMMANUEL GARCIA PA-C
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
1363A00000XPhysician Assistant2020037118MO
2363A00000XPhysician Assistant1502398KS

General Provider Information

NPI Number : 1740803576
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. EMMANUEL GARCIA PA-C
Provider Business Mailing Address
First Line : 3801 DR MARTIN LUTHER KING JR BLVD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64130-2807
Country : US
Telephone Number : 816-599-5111
Fax Number :
Provider Business Practice Location Address
First Line : 21 N 12TH ST STE 400
Second Line :
City : KANSAS CITY
State : KS
Zip : 66102-5172
Country : US
Telephone Number : 816-599-5959
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2020
Last Update Date : 03/11/2026

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