| My-e Llc | |
|
4420 N Chouteau Trfy Ste 202 Kansas City MO 64117-1259 | |
| (816) 866-7984 | |
| (915) 503-2256 |
| Full Name | My-e Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4420 N Chouteau Trfy Ste 202, Kansas City, Missouri |
| Authorized Official Name and Position | Kimberly A Whitman (OWNER) |
| Authorized Official Contact | 8168667984 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| My-e Llc 8450 Nw Prairie View Rd # 1210 Kansas City MO 64153-1841 Ph: (816) 866-7984 | My-e Llc 4420 N Chouteau Trfy Ste 202 Kansas City MO 64117-1259 Ph: (816) 866-7984 |
| NPI Number | 1043977937 |
|---|---|
| Provider Enumeration Date | 11/26/2021 |
| Last Update Date | 12/03/2022 |
| Certification Date | 12/03/2022 |
| Medicare PECOS PAC ID | 3375935745 |
|---|---|
| Medicare Enrollment ID | O20220114000624 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043977937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Kimberly A Whitman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427492065 PECOS PAC ID: 2163815663 Enrollment ID: I20220204001552 |
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