Healthcare Provider Details

I. General information

NPI: 1841586831
Provider Name (Legal Business Name): SCHREIER FAMILY MEDICINE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2011
Last Update Date: 09/20/2021
Certification Date: 09/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1345 N JESSE JAMES RD
EXCELSIOR SPRINGS MO
64024-1120
US

IV. Provider business mailing address

1345 N JESSE JAMES RD STE 1
EXCELSIOR SPRINGS MO
64024-1120
US

V. Phone/Fax

Practice location:
  • Phone: 816-630-9411
  • Fax: 855-642-2047
Mailing address:
  • Phone: 816-630-9411
  • Fax: 855-642-2047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2005027703
License Number StateMO

VIII. Authorized Official

Name: KATHY M WELCH
Title or Position: PRACTICE MANAGER
Credential:
Phone: 816-630-9411