His Temple | |
300 E 39th St # 57 Kansas City MO 64111-1531 | |
(816) 237-7115 | |
Not Available |
Full Name | His Temple |
---|---|
Speciality | Clinic/center |
Location | 300 E 39th St # 57, Kansas City, Missouri |
Authorized Official Name and Position | Nicole Rochelle Smith (NURSE PRACTITIONER/OWNER) |
Authorized Official Contact | 8163771551 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
His Temple 300 E 39th St # 57 Kansas City MO 64111-1531 Ph: (816) 237-7115 | His Temple 300 E 39th St # 57 Kansas City MO 64111-1531 Ph: (816) 237-7115 |
NPI Number | 1043978802 |
---|---|
Provider Enumeration Date | 11/29/2021 |
Last Update Date | 11/29/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043978802 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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