| Afya Clinic | |
|
2319 E 12th St Kansas City MO 64127-1246 | |
| (816) 824-7219 | |
| Not Available |
| Full Name | Afya Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 2319 E 12th St, Kansas City, Missouri |
| Authorized Official Name and Position | Farhiya Alew (DIRECTOR) |
| Authorized Official Contact | 8168247219 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Afya Clinic 2319 E 12th St Kansas City MO 64127-1246 Ph: (816) 824-7219 | Afya Clinic 2319 E 12th St Kansas City MO 64127-1246 Ph: (816) 824-7219 |
| NPI Number | 1013526847 |
|---|---|
| Provider Enumeration Date | 07/28/2020 |
| Last Update Date | 11/27/2020 |
| Medicare PECOS PAC ID | 6406262302 |
|---|---|
| Medicare Enrollment ID | O20210301001142 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013526847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | Farhiya A. Alew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275153322 PECOS PAC ID: 7214343110 Enrollment ID: I20210301001232 |
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