# KANSAS CITY ACTIVE SPORTS MEDICINE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063838647
- **Authorized official:** AARON L ROWLAND D.O. (OWNER)
- **Authorized official phone:** (816) 448-8929

## Contact information

- **Practice address:** 10015 N AMBASSADOR DR, SUITE 100, KANSAS CITY, MO 64153-1437
- **Practice address phone:** (816) 448-8929
- **Practice address fax:** (816) 448-8928
- **Mailing address:** 10015 N AMBASSADOR DR, SUITE 100, KANSAS CITY, MO 64153-1437
- **Mailing address phone:** (816) 448-8929
- **Mailing address fax:** (816) 448-8928

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | MO | Yes |

## Other

- **Enumeration date:** 03/06/2014
- **Last updated:** 08/29/2014