Healthcare Provider Details

I. General information

NPI: 1528903697
Provider Name (Legal Business Name): FLEXIBLE COVERAGE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3917 N GARFIELD AVE
KANSAS CITY MO
64116-2528
US

IV. Provider business mailing address

4610 NE 67TH ST
KANSAS CITY MO
64119-7842
US

V. Phone/Fax

Practice location:
  • Phone: 816-612-9208
  • Fax:
Mailing address:
  • Phone: 816-612-9208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LEOPOLDINE BLAISE
Title or Position: OWNER/OPERATOR
Credential: NP
Phone: 816-616-9399