Healthcare Provider Details

I. General information

NPI: 1356935167
Provider Name (Legal Business Name): EPIC HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2021
Last Update Date: 02/22/2021
Certification Date: 02/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4931 NE 77TH TER
KANSAS CITY MO
64119-4550
US

IV. Provider business mailing address

4931 NE 77TH TER
KANSAS CITY MO
64119-4550
US

V. Phone/Fax

Practice location:
  • Phone: 816-918-2757
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. DENE Y BECK
Title or Position: CO-OWNER
Credential:
Phone: 816-215-7257