Healthcare Provider Details
I. General information
NPI: 1487871315
Provider Name (Legal Business Name): RMC HBP LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/20/2007
Last Update Date: 10/15/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2316 E MEYER BLVD OUTPATIENT ONCOLOGY
KANSAS CITY MO
64132-1136
US
IV. Provider business mailing address
2316 E MEYER BLVD OUTPATIENT ONCOLOGY
KANSAS CITY MO
64132-1136
US
V. Phone/Fax
- Phone: 816-276-9288
- Fax: 816-276-3786
- Phone: 816-276-9288
- Fax: 816-276-3786
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RX0202X |
| Taxonomy | Medical Oncology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KEVIN
D
MCGRATH
Title or Position: VICE PRESIDENT
Credential:
Phone: 816-995-3088