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NPI Code Detail

MEDICARE: CLAY PLATTE FAMILY MEDICINE CLINIC

MEDICARE: CLAY PLATTE FAMILY MEDICINE CLINIC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
2207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073570487
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLAY PLATTE FAMILY MEDICINE CLINIC
Provider Business Mailing Address
First Line : 5501 NW 62ND TER STE 100
Second Line :
City : KANSAS CITY
State : MO
Zip : 64151-2412
Country : US
Telephone Number : 816-842-4440
Fax Number : 816-842-1974
Provider Business Practice Location Address
First Line : 5501 NW 62ND TER STE 100
Second Line :
City : KANSAS CITY
State : MO
Zip : 64151-2412
Country : US
Telephone Number : 816-842-4440
Fax Number : 816-842-1974
Authorized Official
Title or Position : PRESIDENT
Name : DR. SCOTT H KUENNEN
Credential : M.D.
Telephone Number : 816-842-4440
Provider Enumeration Date : 04/28/2006
Last Update Date : 10/25/2022

Similar Medicare Providers

1952301756 — DANIEL SHANE JACKSON DPT
Practice Location Address:
5501 NW 62ND TER STE 102
KANSAS CITY, MO
64151-2412
Practice Phone: 816-453-4485
Practice Fax: 816-453-4101
1073570412 — DR. PAUL M JOSLIN MD
Practice Location Address:
5501 NW 62ND TER STE 100
KANSAS CITY, MO
64151-2412
Practice Phone: 816-842-4440
Practice Fax: 816-842-1974
1972560324 — DR. SCOTT H KUENNEN MD
Practice Location Address:
5501 NW 62ND TER STE 100
KANSAS CITY, MO
64151-2412
Practice Phone: 816-842-4440
Practice Fax: 816-842-1974
1932167897 — DR. THOMAS C CHAPMAN DO
Practice Location Address:
5501 NW 62ND TER STE 100
KANSAS CITY, MO
64151-2412
Practice Phone: 816-842-4440
Practice Fax: 816-842-1974
1144288002 — DR. NATHAN D GRANGER MD
Practice Location Address:
5501 NW 62ND TER STE 100
KANSAS CITY, MO
64151-2412
Practice Phone: 816-842-4440
Practice Fax: 816-842-1974
1467410290 — DR. RICHARD ORTIZ MD
Practice Location Address:
5501 NW 62ND TER STE 100
KANSAS CITY, MO
64151-2412
Practice Phone: 816-842-4440
Practice Fax: 816-842-1974

Directions to “CLAY PLATTE FAMILY MEDICINE CLINIC ” Practice Location

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