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NPI Code Detail

MEDICARE: KANSAS CITY VAMC

MEDICARE: KANSAS CITY VAMC
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
1261QV0200XVA Clinic/Center

General Provider Information

NPI Number : 1487061446
Entity Type Code : Organization
Provider Name (Legal Business Name) : KANSAS CITY VAMC
Provider Business Mailing Address
First Line : PO BOX 94458
Second Line :
City : CLEVELAND
State : OH
Zip : 44101-4458
Country : US
Telephone Number : 913-578-4409
Fax Number :
Provider Business Practice Location Address
First Line : 4251 NORTHERN AVENUE
Second Line :
City : KANSAS CITY
State : MO
Zip : 64133-1593
Country : US
Telephone Number : 913-578-4409
Fax Number :
Authorized Official
Title or Position : NPI TEAM MEMBER
Name : ERIN POTTER
Credential :
Telephone Number : 202-382-2579
Provider Enumeration Date : 07/22/2014
Last Update Date : 11/18/2019

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Directions to “KANSAS CITY VAMC ” Practice Location

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