| Hometown Family Medicine Llc | |
|
6317 Evanston Ave Raytown MO 64133-4929 | |
| (816) 353-3939 | |
| (816) 353-2688 |
| Full Name | Hometown Family Medicine Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 6317 Evanston Ave, Raytown, Missouri |
| Authorized Official Name and Position | Linnea Marie Williams (OWNER/ PRESIDENT) |
| Authorized Official Contact | 8166782069 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hometown Family Medicine Llc 3516 Cherry St Kansas City MO 64109-2258 Ph: (816) 756-5375 | Hometown Family Medicine Llc 6317 Evanston Ave Raytown MO 64133-4929 Ph: (816) 353-3939 |
| NPI Number | 1265869176 |
|---|---|
| Provider Enumeration Date | 10/09/2013 |
| Last Update Date | 10/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265869176 | NPI | - | NPPES |
| 1770779530 | Other | MO | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 2008013774 (Missouri) | Primary |
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