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NPI Code Detail

MEDICARE: SETON CENTER FAMILY AND HEALTH SERVICES

MEDICARE: SETON CENTER FAMILY AND HEALTH SERVICES
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
11223G0001XGeneral Practice Dentistry2003013101MO

General Provider Information

NPI Number : 1730183716
Entity Type Code : Organization
Provider Name (Legal Business Name) : SETON CENTER FAMILY AND HEALTH SERVICES
Provider Business Mailing Address
First Line : 2816 E 23RD ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64127-4002
Country : US
Telephone Number : 816-231-3955
Fax Number : 816-231-1894
Provider Business Practice Location Address
First Line : 2816 E 23RD ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64127-4002
Country : US
Telephone Number : 816-231-3955
Fax Number : 816-231-1894
Authorized Official
Title or Position : CLINIC MANAGER
Name : BRENDA LASATER-FINNEGAN
Credential :
Telephone Number : 816-231-3955
Provider Enumeration Date : 06/08/2005
Last Update Date : 08/22/2020

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Directions to “SETON CENTER FAMILY AND HEALTH SERVICES ” Practice Location

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