Healthcare Provider Details

I. General information

NPI: 1942446232
Provider Name (Legal Business Name): SCHOOL DISTRICT OF KANSAS CITY, MISSOURI
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

4747 FLORA
KANSAS CITY MO
64110
US

IV. Provider business mailing address

1215 EAST TRUMAN ROAD
KANSAS CITY MO
64106-3152
US

V. Phone/Fax

Practice location:
  • Phone: 816-418-2301
  • Fax: 816-418-8646
Mailing address:
  • Phone: 816-418-8647
  • 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: MANAGER SCHOOL BASED SCHOOL LINKED
Credential:
Phone: 816-418-8647