Healthcare Provider Details

I. General information

NPI: 1891617403
Provider Name (Legal Business Name): JULIETA ZAMORA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 N 12TH ST
KANSAS CITY KS
66102-5161
US

IV. Provider business mailing address

1215 METROPOLITAN AVE
KANSAS CITY KS
66103-1066
US

V. Phone/Fax

Practice location:
  • Phone: 913-342-2552
  • Fax:
Mailing address:
  • Phone: 913-674-7930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number2026031642
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: