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NPI Code Detail

MEDICARE: SYBA BIRTH LLC

MEDICARE: SYBA BIRTH 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
1261Q00000XClinic/Center
2261QB0400XBirthing Clinic/Center

General Provider Information

NPI Number : 1518398684
Entity Type Code : Organization
Provider Name (Legal Business Name) : SYBA BIRTH LLC
Provider Business Mailing Address
First Line : 721 N 31ST ST
Second Line :
City : KANSAS CITY
State : KS
Zip : 66102-3964
Country : US
Telephone Number : 913-620-1505
Fax Number :
Provider Business Practice Location Address
First Line : 721 N 31ST ST
Second Line :
City : KANSAS CITY
State : KS
Zip : 66102-3964
Country : US
Telephone Number : 913-620-1505
Fax Number : 913-884-1970
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : KATHERINE YUNGHANS
Credential : CNM
Telephone Number : 913-620-1505
Provider Enumeration Date : 11/27/2013
Last Update Date : 02/10/2014

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Directions to “SYBA BIRTH LLC ” Practice Location

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