MEDICARE: MR. H WAYNE MCKAMIE, JR. LCSW

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
1	1041C0700X	Clinical Social Worker	001923	MO

General Provider Information

NPI Number	:	1326083429
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. H WAYNE MCKAMIE, JR. LCSW

Provider Business Mailing Address
First Line	:	5354 LONGVIEW RD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64137-2731
Country	:	US
Telephone Number	:	816-767-8762
Fax Number	:	816-767-8764

Provider Business Practice Location Address
First Line	:	5354 LONGVIEW RD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64137-2731
Country	:	US
Telephone Number	:	816-767-8762
Fax Number	:	816-767-8764

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2006
Last Update Date	:	10/06/2008

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