Healthcare Provider Details

I. General information

NPI: 1184589400
Provider Name (Legal Business Name): KANSAS CITY VA MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4801 E LINWOOD BLVD
KANSAS CITY MO
64128-2226
US

IV. Provider business mailing address

4635 HIGHWAY K 33
WELLSVILLE KS
66092-8537
US

V. Phone/Fax

Practice location:
  • Phone: 816-606-6056
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: MS. TERESA LYNN NEWTON
Title or Position: HEALTH AND WELLNESS COACH
Credential:
Phone: 816-606-6056