# 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
- **Other names:** Cobblestone Family Medicine Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366169922
- **Authorized official:** GABRIELLE HUNT (SUPPORT SERVICES MANAGER)
- **Authorized official phone:** (816) 842-4440

## Contact information

- **Practice address:** 1133 W KANSAS ST, LIBERTY, MO 64068-2281
- **Practice address phone:** (816) 781-7400
- **Practice address fax:** (816) 781-3315
- **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 |

## Other

- **Enumeration date:** 10/25/2022
- **Last updated:** 10/25/2022