| John W Klema Iii Pc | |
|
4963 Ne Goodview Cir Ste B Lees Summit MO 64064-2491 | |
| (816) 795-7100 | |
| (816) 795-7105 |
| Full Name | John W Klema Iii Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 4963 Ne Goodview Cir Ste B, Lees Summit, Missouri |
| Authorized Official Name and Position | John W Klema (PRESIDENT) |
| Authorized Official Contact | 8167957100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John W Klema Iii Pc 4963 Ne Goodview Cir Ste B Lees Summit MO 64064-2491 Ph: (816) 795-7100 | John W Klema Iii Pc 4963 Ne Goodview Cir Ste B Lees Summit MO 64064-2491 Ph: (816) 795-7100 |
| NPI Number | 1699952135 |
|---|---|
| Provider Enumeration Date | 01/28/2008 |
| Last Update Date | 06/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699952135 | NPI | - | NPPES |
| E42151 | Other | MO | UPIN |
| 241071109 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | R9142 (Missouri) | Primary |
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