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NPI Code Detail

MEDICARE: PLUSH LIFE LLC

MEDICARE: PLUSH LIFE LLC
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
1261QX0200XOncology Clinic/Center

General Provider Information

NPI Number : 1366299968
Entity Type Code : Organization
Provider Name (Legal Business Name) : PLUSH LIFE LLC
Provider Business Mailing Address
First Line : 5502 NW 92ND TER
Second Line :
City : KANSAS CITY
State : MO
Zip : 64154-1892
Country : US
Telephone Number : 816-492-5488
Fax Number :
Provider Business Practice Location Address
First Line : 3423 MAIN ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-1910
Country : US
Telephone Number : 816-492-5488
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JENNIFER DUCKWORTH
Credential :
Telephone Number : 816-492-5488
Provider Enumeration Date : 05/01/2024
Last Update Date : 05/01/2024

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Directions to “PLUSH LIFE LLC ” Practice Location

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