Kansas City Active Sports Medicine Inc | |
10015 N Ambassador Dr Suite 100 Kansas City MO 64153-1437 | |
(816) 448-8929 | |
(816) 448-8928 |
Full Name | Kansas City Active Sports Medicine Inc |
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Speciality | Family Medicine |
Location | 10015 N Ambassador Dr, Kansas City, Missouri |
Authorized Official Name and Position | Aaron L Rowland (OWNER) |
Authorized Official Contact | 8164488929 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kansas City Active Sports Medicine Inc 10015 N Ambassador Dr Suite 100 Kansas City MO 64153-1437 Ph: (816) 448-8929 | Kansas City Active Sports Medicine Inc 10015 N Ambassador Dr Suite 100 Kansas City MO 64153-1437 Ph: (816) 448-8929 |
NPI Number | 1063838647 |
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Provider Enumeration Date | 03/06/2014 |
Last Update Date | 08/29/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063838647 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Missouri) | Primary |
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