# HICKMAN MILLS CLINIC, INC.

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

## Provider details

- **NPI number:** 1073583373
- **Authorized official:** DONALD D PALMER (ADMINISTRATOR)
- **Authorized official phone:** (816) 763-5200

## Contact information

- **Practice address:** 11201 COLORADO AVE, KANSAS CITY, MO 64137-2502
- **Practice address phone:** (816) 763-5200
- **Practice address fax:** (816) 763-7124
- **Mailing address:** 11201 COLORADO AVE, KANSAS CITY, MO 64137-2502
- **Mailing address phone:** (816) 763-5200
- **Mailing address fax:** (816) 763-7124

## Taxonomy

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

## Other

- **Enumeration date:** 01/26/2006
- **Last updated:** 08/22/2020