# INDEPENDENCE WOMENS CLINIC PC

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

## Provider details

- **NPI number:** 1427828102
- **Authorized official:** TIMOTHY HALL MD (PRESIDENT)
- **Authorized official phone:** (816) 478-0220

## Contact information

- **Practice address:** 19550 E 39TH ST S STE 300, INDEPENDENCE, MO 64057-2306
- **Practice address phone:** (816) 478-0220
- **Mailing address:** 19550 E 39TH ST S STE 300, INDEPENDENCE, MO 64057-2306
- **Mailing address phone:** (816) 478-0220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/04/2024
- **Last updated:** 07/06/2026