Omo Care of Mo Ii, LLC
NPI #1336601491 in Kansas City, Missouri
Provider Information
- NPI Number
- 1336601491
- Entity Type
- Organization
- Organization Name
- Omo Care of Mo Ii, LLC
- Primary Specialty
- Orthopaedic Surgery
- Enumeration Date
- Apr 5, 2019
- Last Updated
- Apr 5, 2019
Practice Location
- Address
- 111 W 10TH ST STE 102
- City
- Kansas City
- State
- Missouri
- ZIP Code
- 64105-1700
- Phone
- (615) 386-0064
Authorized Official
- Name
- EDWARD LELAND HUTTON EADIE
- Title
- DIRECTOR
- Phone
- (615) 733-2064
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery |
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