Healthcare Provider Details
I. General information
NPI: 1871090951
Provider Name (Legal Business Name): AMERICAN CURRENT CARE OF KANSAS PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/06/2018
Last Update Date: 04/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6501 E COMMERCE AVE STE 110
KANSAS CITY MO
64120-2176
US
IV. Provider business mailing address
5080 SPECTRUM DR STE 1200W
ADDISON TX
75001-4624
US
V. Phone/Fax
- Phone: 816-483-5550
- Fax: 816-483-6088
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ARTHUR
ZIPORIN
Title or Position: VP
Credential:
Phone: 615-778-4066