Healthcare Provider Details

I. General information

NPI: 1265373187
Provider Name (Legal Business Name): KC PRO DRIVER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 DELAVAN AVE
KANSAS CITY KS
66104-3737
US

IV. Provider business mailing address

3600 DELAVAN AVE
KANSAS CITY KS
66104-3737
US

V. Phone/Fax

Practice location:
  • Phone: 913-999-4479
  • Fax:
Mailing address:
  • Phone: 913-999-4479
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VIII. Authorized Official

Name: CARL STINSON
Title or Position: CEO
Credential:
Phone: 913-999-4479