| Kcrcmd Inc | |
|
254 Ne Tudor Rd Lees Summit MO 64086-5696 | |
| (816) 795-1968 | |
| (888) 642-0207 |
| Full Name | Kcrcmd Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 254 Ne Tudor Rd, Lees Summit, Missouri |
| Authorized Official Name and Position | Michael G Navato (OWNER) |
| Authorized Official Contact | 8167951968 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kcrcmd Inc 254 Ne Tudor Rd Lees Summit MO 64086-5696 Ph: (816) 795-1968 | Kcrcmd Inc 254 Ne Tudor Rd Lees Summit MO 64086-5696 Ph: (816) 795-1968 |
| NPI Number | 1891872503 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 08/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891872503 | NPI | - | NPPES |
| 260028685 | Other | MO | RAILROAD MEDICARE |
| 202416061 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | M36881 (Missouri) | Primary |
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