Healthcare Provider Details

I. General information

NPI: 1356336507
Provider Name (Legal Business Name): KANSAS CITY ARTIFICIAL LIMBS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9302 E 40 HWY
INDEPENDENCE MO
64055-6111
US

IV. Provider business mailing address

9302 E 40 HWY
INDEPENDENCE MO
64055-6111
US

V. Phone/Fax

Practice location:
  • Phone: 816-356-3321
  • Fax: 816-356-1551
Mailing address:
  • Phone: 816-356-3321
  • Fax: 816-356-1551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number StateMO

VIII. Authorized Official

Name: JAMES H KESSLER
Title or Position: TREASURER
Credential:
Phone: 816-356-3321