# KCVA

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

## Provider details

- **NPI number:** 1104220391
- **Authorized official:** KIMBERLY LUDWIG LCSW (SOCIAL WORKER)
- **Authorized official phone:** (816) 803-8887

## Contact information

- **Practice address:** 4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
- **Practice address phone:** (816) 861-4700
- **Mailing address:** 720 E MEYER BLVD, KANSAS CITY, MO 64131-1114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2865M2000X | Military General Acute Care Hospital | 2000148145 | MO | Yes |

## Other

- **Enumeration date:** 10/16/2014
- **Last updated:** 10/16/2014