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NPI Code Detail

MEDICARE: PEDIATRIC CARE NORTH

MEDICARE: PEDIATRIC CARE NORTH
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
1363LP0200XPediatric Nurse PractitionerRN2012029116MO

General Provider Information

NPI Number : 1780090860
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEDIATRIC CARE NORTH
Provider Business Mailing Address
First Line : 8781 N PLATTE PURCHASE DR
Second Line :
City : KANSAS CITY
State : MO
Zip : 64155-1829
Country : US
Telephone Number : 816-587-3200
Fax Number : 816-587-7644
Provider Business Practice Location Address
First Line : 8781 N PLATTE PURCHASE DR
Second Line :
City : KANSAS CITY
State : MO
Zip : 64155-1829
Country : US
Telephone Number : 816-587-3200
Fax Number : 816-587-7644
Authorized Official
Title or Position : PRESIDENT
Name : SUSAN L STORM
Credential : MD
Telephone Number : 816-587-3200
Provider Enumeration Date : 07/09/2014
Last Update Date : 07/09/2014

Similar Medicare Providers

1467922617 — MRS. DENISE MARIE MCGUIRE MSN, FNP
Practice Location Address:
8781 N PLATTE PURCHASE DR
KANSAS CITY, MO
64155-1829
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Practice Fax:
1710394317 — MRS. MONICA M RONDEAU PNP
Practice Location Address:
8781 N PLATTE PURCHASE DR
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1003201294 — AMANDA FINN DO
Practice Location Address:
8781 N PLATTE PURCHASE DR
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64155-1829
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1164969952 — CHILDREN'S MERCY-PEDIATRIC CARE NORTH, INC
Practice Location Address:
8781 N PLATTE PURCHASE DR
KANSAS CITY, MO
64155-1829
Practice Phone: 816-587-3200
Practice Fax:
1043836703 — DR. SHANE MICHAEL STORM MD
Practice Location Address:
8781 N PLATTE PURCHASE DR
KANSAS CITY, MO
64155-1829
Practice Phone: 816-587-3200
Practice Fax: 816-587-7644
1881202943 — KANSAS CITY ORAL SURGERY & IMPLANT CENTER
Practice Location Address:
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Practice Phone: 816-281-7173
Practice Fax:

Directions to “PEDIATRIC CARE NORTH ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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