# OA CENTERS OF KANSAS CITY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Freedom Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346511268
- **Authorized official:** CANDICE CARTER FNP-BC (CLINIC COORDINATOR)
- **Authorized official phone:** (402) 934-8255

## Contact information

- **Practice address:** 4200 LITTLE BLUE PKWY, SUITE 320, INDEPENDENCE, MO 64057-8312
- **Practice address phone:** (816) 867-4140
- **Practice address fax:** (636) 412-7989
- **Mailing address:** 4200 LITTLE BLUE PKWY, SUITE 320, INDEPENDENCE, MO 64057-8312
- **Mailing address phone:** (816) 867-4140
- **Mailing address fax:** (636) 412-7989

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 2006025640 | MO | Yes |
| 225100000X | Physical Therapist | — | MO | — |

## Other

- **Enumeration date:** 01/24/2012
- **Last updated:** 01/24/2012