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NPI Code Detail

MEDICARE: KIDNEY ASSOCIATES OF KANSAS CITY PC

MEDICARE: KIDNEY ASSOCIATES OF KANSAS CITY PC
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
1207RN0300XNephrology Physician

General Provider Information

NPI Number : 1710952700
Entity Type Code : Organization
Provider Name (Legal Business Name) : KIDNEY ASSOCIATES OF KANSAS CITY PC
Provider Business Mailing Address
First Line : 6530 TROOST AVE STE A
Second Line :
City : KANSAS CITY
State : MO
Zip : 64131-1301
Country : US
Telephone Number : 816-361-0670
Fax Number : 816-444-6936
Provider Business Practice Location Address
First Line : 6530 TROOST AVE STE A
Second Line :
City : KANSAS CITY
State : MO
Zip : 64131-1301
Country : US
Telephone Number : 816-361-0670
Fax Number : 816-444-6936
Authorized Official
Title or Position : PHYSICIAN
Name : DR. RICHARD S MUTHER
Credential : MD FA CP
Telephone Number : 816-361-0670
Provider Enumeration Date : 02/22/2006
Last Update Date : 04/11/2023

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Directions to “KIDNEY ASSOCIATES OF KANSAS CITY PC ” Practice Location

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