Healthcare Provider Details

I. General information

NPI: 1841276672
Provider Name (Legal Business Name): CITY OF KANSAS CITY MISSOURI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2005
Last Update Date: 11/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 TROOST AVE SUITE 4000
KANSAS CITY MO
64108-2666
US

IV. Provider business mailing address

2400 TROOST AVE SUITE 4000
KANSAS CITY MO
64108-2666
US

V. Phone/Fax

Practice location:
  • Phone: 816-513-6008
  • Fax: 816-513-6285
Mailing address:
  • Phone: 816-513-6008
  • Fax: 816-513-6285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. REX ARCHER
Title or Position: DIRECTOR
Credential: MD MPH
Phone: 816-513-6252