Healthcare Provider Details

I. General information

NPI: 1568289700
Provider Name (Legal Business Name): ARTHUR W SEABURY JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/19/2024
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6204 E 110TH TER
KANSAS CITY MO
64134-2657
US

IV. Provider business mailing address

6204 E 110TH TER
KANSAS CITY MO
64134-2657
US

V. Phone/Fax

Practice location:
  • Phone: 816-769-7299
  • Fax:
Mailing address:
  • Phone: 816-769-7299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2025018399
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: