| Infinite Wellness Of Kansas City | |
|
350 Sw Greenwich Dr Lees Summit MO 64082-4408 | |
| (803) 547-4343 | |
| Not Available |
| Full Name | Infinite Wellness Of Kansas City |
|---|---|
| Speciality | Internal Medicine |
| Location | 350 Sw Greenwich Dr, Lees Summit, Missouri |
| Authorized Official Name and Position | Jordan Long (OFFICIAL) |
| Authorized Official Contact | 8165375995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infinite Wellness Of Kansas City 350 Sw Greenwich Dr Lees Summit MO 64082-4408 Ph: () - | Infinite Wellness Of Kansas City 350 Sw Greenwich Dr Lees Summit MO 64082-4408 Ph: (803) 547-4343 |
| NPI Number | 1710341110 |
|---|---|
| Provider Enumeration Date | 04/12/2016 |
| Last Update Date | 11/26/2019 |
| Medicare PECOS PAC ID | 4082900303 |
|---|---|
| Medicare Enrollment ID | O20160912002110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710341110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Chad A Surratt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700870110 PECOS PAC ID: 5496645749 Enrollment ID: I20040318001514 |
| Provider Name | Shannon R Cantrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518410224 PECOS PAC ID: 6709171218 Enrollment ID: I20160823002295 |
| Provider Name | Christopher John Long |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1184861072 PECOS PAC ID: 3678848926 Enrollment ID: I20180813001409 |
| Provider Name | Levi B Gonzalez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1548021868 PECOS PAC ID: 3971946807 Enrollment ID: I20240208000249 |
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