# CLAY PLATTE FAMILY MEDICINE CLINIC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1073570487
- **Authorized official:** DR. SCOTT H KUENNEN M.D. (PRESIDENT)
- **Authorized official phone:** (816) 842-4440

## Contact information

- **Practice address:** 5501 NW 62ND TER STE 100, KANSAS CITY, MO 64151-2412
- **Practice address phone:** (816) 842-4440
- **Practice address fax:** (816) 842-1974
- **Mailing address:** 5501 NW 62ND TER STE 100, KANSAS CITY, MO 64151-2412
- **Mailing address phone:** (816) 842-4440
- **Mailing address fax:** (816) 842-1974

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 04/28/2006
- **Last updated:** 10/25/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 505360107 | — | MO |