Centerwell Senior Primary Care (mo) PC
NPI #1134609381 in Kansas City, Missouri
Provider Information
- NPI Number
- 1134609381
- Entity Type
- Organization
- Organization Name
- Centerwell Senior Primary Care (mo) PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CENTERWELL SENIOR PRIMARY CARE (MO) PC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Aug 17, 2018
- Last Updated
- Aug 19, 2024
Practice Location
- Address
- 5121 NE ANTIOCH RD
- City
- Kansas City
- State
- Missouri
- ZIP Code
- 64119
- Phone
- (816) 946-6901
Authorized Official
- Name
- ANGIE MARTINEZ
- Title
- SENIOR CREDENTIALING PROFESSIONAL
- Phone
- (407) 447-7120
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
| Family Medicine |
| Internal Medicine |
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