Healthcare Provider Details

I. General information

NPI: 1881353514
Provider Name (Legal Business Name): A TO Z THEATRICAL SUPPLY AND SERVICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2021
Last Update Date: 02/03/2023
Certification Date: 02/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 E MEYER BLVD
KANSAS CITY MO
64131-1115
US

IV. Provider business mailing address

800 E MEYER BLVD
KANSAS CITY MO
64131-1115
US

V. Phone/Fax

Practice location:
  • Phone: 816-523-1655
  • Fax: 816-523-1690
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: ALEX JOHN
Title or Position: MANAGER
Credential:
Phone: 408-622-0120