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NPI Code Detail

MEDICARE: KENNEDIE B CLAY LMSW

MEDICARE:   KENNEDIE B CLAY  LMSW
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
11041C0700XClinical Social Worker2021005847MO

General Provider Information

NPI Number : 1982451878
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENNEDIE B CLAY LMSW
Provider Business Mailing Address
First Line : PO BOX 219672
Second Line :
City : KANSAS CITY
State : MO
Zip : 64121-9672
Country : US
Telephone Number : 816-407-4200
Fax Number :
Provider Business Practice Location Address
First Line : 8380 N TULLIS AVE STE 300
Second Line :
City : KANSAS CITY
State : MO
Zip : 64158-5114
Country : US
Telephone Number : 816-415-3451
Fax Number : 816-415-3452
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2024
Last Update Date : 04/23/2025

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Directions to “ KENNEDIE B CLAY LMSW” Practice Location

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