Healthcare Provider Details

I. General information

NPI: 1982114302
Provider Name (Legal Business Name): AFFINITY SPORTS MEDICINE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2017
Last Update Date: 10/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9501 N OAK TRFY STE 280
KANSAS CITY MO
64155
US

IV. Provider business mailing address

9501 N OAK TRFY STE 280
KANSAS CITY MO
64155
US

V. Phone/Fax

Practice location:
  • Phone: 816-895-4900
  • Fax: 816-895-4901
Mailing address:
  • Phone: 816-895-4900
  • Fax: 816-895-4901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. AARON L ROWLAND
Title or Position: OWNER
Credential: DO
Phone: 816-895-4900