Healthcare Provider Details

I. General information

NPI: 1508855602
Provider Name (Legal Business Name): RMC HBP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2005
Last Update Date: 11/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6420 PROSPECT AVE SUITE T303
KANSAS CITY MO
64132-1180
US

IV. Provider business mailing address

6420 PROSPECT AVE SUITE T303
KANSAS CITY MO
64132-1180
US

V. Phone/Fax

Practice location:
  • Phone: 816-333-1919
  • Fax: 816-333-2614
Mailing address:
  • Phone: 816-333-1919
  • Fax: 816-333-2614

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: KEVIN MCGRATH
Title or Position: VP
Credential:
Phone: 816-995-3088