Centerwell Senior Primary Care (mo) PC

NPI #1154148435 in Gladstone, Missouri

Provider Information

NPI Number: 1154148435
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: Sep 26, 2024
Last Updated: Jan 9, 2025

Practice Location

Address: 7209 N PROSPECT AVE.
City: Gladstone
State: Missouri
ZIP Code: 64119-5351
Phone: (816) 429-1396

Authorized Official

Name: ANGIE MARTINEZ
Title: SENIOR CREDENTIALING PROFESSIONAL
Phone: (407) 447-7120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
General Practice	208D00000X
Internal Medicine	207R00000X	Primary

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Individual Providers

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DR. Daniel Mark Cline, M.D.	Internal Medicine	Gladstone	AI Deep Dive
DR. Bruce A Kauk, M.D.	Internal Medicine	Gladstone	AI Deep Dive
DR. Kanti L. Havaldar, M.D.	Internal Medicine	Maryville	AI Deep Dive
Janice K Mcgovney, M.D.	Internal Medicine	Kansas City	AI Deep Dive

Organizations

Provider Name	Specialty	City
Northland Internal Medicine M.d.'s P.c.	Internal Medicine	Gladstone	AI Deep Dive

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