Healthcare Provider Details
I. General information
NPI: 1154572741
Provider Name (Legal Business Name): DR. ARKELLS HOUSE CALLS AND ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/01/2008
Last Update Date: 10/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1200 W 75TH TER
KANSAS CITY MO
64114-1605
US
IV. Provider business mailing address
1200 W 75TH TER
KANSAS CITY MO
64114-1605
US
V. Phone/Fax
- Phone: 913-226-7332
- Fax:
- Phone: 913-226-7332
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 305S00000X |
| Taxonomy | Point of Service |
| License Number | 106845 |
| License Number State | MO |
VIII. Authorized Official
Name: DR.
WILLIAM
ARKELL
Title or Position: PRESIDENT
Credential: D.O.
Phone: 913-226-7332