| Waldo Medical Llc | |
|
7208 Wornall Rd Kansas City MO 64114-1345 | |
| (816) 333-0150 | |
| (888) 333-3557 |
| Full Name | Waldo Medical Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 7208 Wornall Rd, Kansas City, Missouri |
| Authorized Official Name and Position | Randy Kellerman (MANAGING MEMBER) |
| Authorized Official Contact | 8163330150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waldo Medical Llc 7208 Wornall Rd Kansas City MO 64114-1345 Ph: (816) 333-0150 | Waldo Medical Llc 7208 Wornall Rd Kansas City MO 64114-1345 Ph: (816) 333-0150 |
| NPI Number | 1740623396 |
|---|---|
| Provider Enumeration Date | 04/14/2013 |
| Last Update Date | 04/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740623396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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