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General NPI Number Information
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NPI Number | 1831060466
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Entity Type | Organization
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Legal Business Name | KIDZMD DPC
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Dates
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Enumeration Date | 09/16/2025
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 556 RUSH CREEK PKWY STE B
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City | LIBERTY
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State | MO
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Zip | 64068-9605
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Country | US
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Telephone | 816-264-7576
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Fax | 816-264-7578
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Provider Business Mailing Address
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Address Line | 556 RUSH CREEK PKWY STE B
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City | LIBERTY
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State | MO
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Zip | 64068-9605
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Country | US
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Telephone | 816-264-7576
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Fax | 816-264-7578
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Authorized Official
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Title or Position | FOUNDER - PEDIATRICIAN
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Name | DR. CHELSEA JOHNSON
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Credential | MD
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Telephone | 816-868-3045
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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