Healthcare Provider Details

I. General information

NPI: 1629991088
Provider Name (Legal Business Name): DRD MANAGEMENT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10931 NORTH SUMMIT STREET
KANSAS CITY MO
64155
US

IV. Provider business mailing address

10931 NORTH SUMMIT STREET
KANSAS CITY MO
64155-0000
US

V. Phone/Fax

Practice location:
  • Phone: 208-283-7792
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2800X
TaxonomyMethadone Clinic
License Number
License Number State

VIII. Authorized Official

Name: ANTHONY KILGORE
Title or Position: CEO
Credential:
Phone: 208-283-7792