| Trinity Primary Care And Wound Specialists Llc | |
|
8039 State Ave Kansas City KS 66112-2454 | |
| (913) 499-9320 | |
| (913) 291-2340 |
| Full Name | Trinity Primary Care And Wound Specialists Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8039 State Ave, Kansas City, Kansas |
| Authorized Official Name and Position | Judith Mueni Kimatu (OWNER) |
| Authorized Official Contact | 9134999320 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Primary Care And Wound Specialists Llc 8039 State Ave Kansas City KS 66112-2454 Ph: (913) 499-9320 | Trinity Primary Care And Wound Specialists Llc 8039 State Ave Kansas City KS 66112-2454 Ph: (913) 499-9320 |
| NPI Number | 1710699285 |
|---|---|
| Provider Enumeration Date | 12/15/2022 |
| Last Update Date | 12/15/2022 |
| Medicare PECOS PAC ID | 0143679928 |
|---|---|
| Medicare Enrollment ID | O20231206001565 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710699285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Judith M Kimatu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962794586 PECOS PAC ID: 0648441881 Enrollment ID: I20110920000907 |
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