Healthcare Provider Details

I. General information

NPI: 1811000128
Provider Name (Legal Business Name): HEALTH CARE FOR CHILDREN P C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9051 N E 81ST TERRACE SUITE 100
KANSAS CITY MO
64158
US

IV. Provider business mailing address

9051 N E 81ST TERRACE SUITE 100
KANSAS CITY MO
64158
US

V. Phone/Fax

Practice location:
  • Phone: 816-792-1170
  • Fax: 816-792-3877
Mailing address:
  • Phone: 816-792-1170
  • Fax: 816-792-3877

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: JOHN R HERTENSTEIN
Title or Position: OWNER
Credential: M .D.
Phone: 816-792-1170