Centerwell Senior Primary Care (mo) PC
NPI #1518787076 in Kansas City, Missouri
Provider Information
- NPI Number
- 1518787076
- 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
- Oct 10, 2024
- Last Updated
- Jan 24, 2025
Practice Location
- Address
- 4400 E 39TH ST
- City
- Kansas City
- State
- Missouri
- ZIP Code
- 64128-2818
- Phone
- (816) 791-7177
Authorized Official
- Name
- ANGIE MARTINEZ
- Title
- SENIOR CREDENTIALING PROFESSIONAL
- Phone
- (407) 447-7120
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| General Practice |
| Non-Pharmacy Dispensing Site |
| Internal Medicine |
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