Healthcare Provider Details

I. General information

NPI: 1104982735
Provider Name (Legal Business Name): ARTHRITIS AND OSTEOPOROSIS ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2006
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 CARONDELET DR SUITE 426
KANSAS CITY MO
64114-4859
US

IV. Provider business mailing address

1010 CARONDELET DR SUITE 426
KANSAS CITY MO
64114-4859
US

V. Phone/Fax

Practice location:
  • Phone: 816-943-1292
  • Fax:
Mailing address:
  • Phone: 816-943-1292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberR7363
License Number StateMO

VIII. Authorized Official

Name: MS. SHARON E ERVIN
Title or Position: CO-OFFICE MANAGER
Credential: RN
Phone: 816-943-1292