Healthcare Provider Details

I. General information

NPI: 1437273430
Provider Name (Legal Business Name): ROBINE MEDICAL ASSOCIATES OF KANSAS CITY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2007
Last Update Date: 07/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 LITTLE BLUE PKWY SUITE 300
INDEPENDENCE MO
64057-8312
US

IV. Provider business mailing address

4200 LITTLE BLUE PKWY SUITE 300
INDEPENDENCE MO
64057-8312
US

V. Phone/Fax

Practice location:
  • Phone: 816-353-2700
  • Fax: 816-795-7311
Mailing address:
  • Phone: 816-353-2700
  • Fax: 816-795-7311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberR7N57
License Number StateMO

VIII. Authorized Official

Name: MISS JENNIFER D SCHULTZ
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 816-353-2700