Healthcare Provider Details

I. General information

NPI: 1639997703
Provider Name (Legal Business Name): KANSAS CITY TESTING AND ASSESSMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2024
Last Update Date: 09/28/2024
Certification Date: 09/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6315 WALNUT ST
KANSAS CITY MO
64113-2313
US

IV. Provider business mailing address

6315 WALNUT ST
KANSAS CITY MO
64113-2313
US

V. Phone/Fax

Practice location:
  • Phone: 816-926-0642
  • Fax:
Mailing address:
  • Phone: 816-926-0642
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY HINMAN
Title or Position: PSYCHOLOGIST
Credential: PHD
Phone: 816-926-0642