Healthcare Provider Details

I. General information

NPI: 1487890778
Provider Name (Legal Business Name): SCHOOL DISTRICT OF KANSAS CITY, MO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2008
Last Update Date: 12/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3221 INDIANA AVE.
KANSAS CITY MO
64128
US

IV. Provider business mailing address

1215 E. TRUMAN ROAD
KANSAS CITY MO
64106-3152
US

V. Phone/Fax

Practice location:
  • Phone: 816-418-2080
  • Fax: 816-418-2079
Mailing address:
  • Phone: 816-418-8653
  • Fax: 816-418-8646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1000X
TaxonomyStudent Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. FELICIA D. SAFIR
Title or Position: SCHOOL BASED SCHOOL LINKED SERVICES
Credential:
Phone: 816-418-8647