Healthcare Provider Details

I. General information

NPI: 1508770025
Provider Name (Legal Business Name): MR. WESLEY T PIERCE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 W 4TH ST
SEDALIA MO
65301-4243
US

IV. Provider business mailing address

4309 NE 45TH ST
KANSAS CITY MO
64117-1813
US

V. Phone/Fax

Practice location:
  • Phone: 816-935-1830
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License NumberP-24542
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: