Healthcare Provider Details

I. General information

NPI: 1417904004
Provider Name (Legal Business Name): RESEARCH FAMILY PHYSICIANS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2006
Last Update Date: 01/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10000 E 66TH TER
RAYTOWN MO
64133-5251
US

IV. Provider business mailing address

10000 E 66TH TER
RAYTOWN MO
64133-5251
US

V. Phone/Fax

Practice location:
  • Phone: 816-737-1037
  • Fax: 816-737-0477
Mailing address:
  • Phone: 816-737-1037
  • Fax: 816-737-0477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: PATRICK J KUENY
Title or Position: VP
Credential:
Phone: 816-737-1037