| Elevating Care Clinic, Llc | |
|
2340 E. Meyer Blvd 208 Kansas City MO 64132-1105 | |
| (816) 665-6124 | |
| Not Available |
| Full Name | Elevating Care Clinic, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2340 E. Meyer Blvd, Kansas City, Missouri |
| Authorized Official Name and Position | Doris Marie Mosby-peterson (CEO/OWNER) |
| Authorized Official Contact | 8166656124 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevating Care Clinic, Llc Po Box 18447 Raytown MO 64133-8447 Ph: (816) 674-5903 | Elevating Care Clinic, Llc 2340 E. Meyer Blvd 208 Kansas City MO 64132-1105 Ph: (816) 665-6124 |
| NPI Number | 1013433762 |
|---|---|
| Provider Enumeration Date | 08/15/2017 |
| Last Update Date | 01/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013433762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 2017000664 (Missouri) | Primary |
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