# CARBON HEALTH MEDICAL GROUP OF KANSAS PA

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

## Provider details

- **NPI number:** 1497357396
- **Authorized official:** MARLEY PAGE (DIRECTOR)
- **Authorized official phone:** (417) 861-9739

## Contact information

- **Practice address:** 8600 WARD PKWY STE 1019, KANSAS CITY, MO 64114-2614
- **Practice address phone:** (417) 822-5933
- **Mailing address:** 10800 SAND HOLLOW CT, RENO, NV 89521-6294
- **Mailing address phone:** (775) 813-4777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/15/2020
- **Last updated:** 06/24/2025