| Primary Care Center Of Kansas City | |
|
4741 S Arrowhead Suite B Independence MO 64055 | |
| (816) 795-6000 | |
| (816) 795-6064 |
| Full Name | Primary Care Center Of Kansas City |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4741 S Arrowhead, Independence, Missouri |
| Authorized Official Name and Position | Jan Lynn Johnson (PHYSICIAN OWNER) |
| Authorized Official Contact | 8167956000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Center Of Kansas City Po Box 480497 Kansas City MO 64148 Ph: (816) 795-6000 | Primary Care Center Of Kansas City 4741 S Arrowhead Suite B Independence MO 64055 Ph: (816) 795-6000 |
| NPI Number | 1386739035 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 05/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386739035 | NPI | - | NPPES |
| 248700718 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | D0101786 (Missouri) | Primary |
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Kc Core Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19550 E 39th St S, Suite 235, Independence, MO 64057 Phone: 816-795-5300 Fax: 816-795-5305 |