Healthcare Provider Details

I. General information

NPI: 1437327426
Provider Name (Legal Business Name): ALL ACTION CONTRACTORS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2008
Last Update Date: 02/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3530 LOCUST ST
KANSAS CITY MO
64109-2263
US

IV. Provider business mailing address

3529 LOCUST ST
KANSAS CITY MO
64109-2264
US

V. Phone/Fax

Practice location:
  • Phone: 816-985-4068
  • Fax: 816-561-2407
Mailing address:
  • Phone: 816-985-4068
  • Fax: 816-561-2407

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. SHAUN MCBRIDE
Title or Position: OWNER
Credential:
Phone: 816-985-4068