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General NPI Number Information
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NPI Number | 1275346793
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Entity Type | Organization
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Legal Business Name | KANSAS CITY PSYCHOLOGY, LLC
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Dates
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Enumeration Date | 01/29/2025
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 7280 NW 87TH TER STE C-201
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City | KANSAS CITY
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State | MO
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Zip | 64153-3720
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Country | US
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Telephone | 913-210-0713
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Fax |
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Provider Business Mailing Address
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Address Line | 10624 N BELLEVIEW AVE
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City | KANSAS CITY
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State | MO
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Zip | 64155-3657
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | KHALID BROWN
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Credential | PSY.D
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Telephone | 347-415-6099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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