| Kansas City Pulmonary Clinic Pa | |
|
6420 Prospect Avenue T303 Kansas City Pulmonary Clinic Pa Kansas City MO 64132 | |
| (816) 333-1919 | |
| (816) 361-1930 |
| Full Name | Kansas City Pulmonary Clinic Pa |
|---|---|
| Speciality | Internal Medicine - Pulmonary Disease |
| Location | 6420 Prospect Avenue T303, Kansas City, Missouri |
| Authorized Official Name and Position | Linda Wagner (PRACTICE MANAGER) |
| Authorized Official Contact | 8163331919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kansas City Pulmonary Clinic Pa 6420 Prospect Avenue T303 Kansas City Pulmonary Clinic Pa Kansas City MO 64132 Ph: (816) 333-1919 | Kansas City Pulmonary Clinic Pa 6420 Prospect Avenue T303 Kansas City Pulmonary Clinic Pa Kansas City MO 64132 Ph: (816) 333-1919 |
| NPI Number | 1295792224 |
|---|---|
| Provider Enumeration Date | 04/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295792224 | NPI | - | NPPES |
| 10021231A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | (* (Not Available)) | Primary |
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