# PRIMARY CARE NORTH KANSAS CITY LLC

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

## Provider details

- **NPI number:** 1518173632
- **Authorized official:** DR. BLAKE H DONALDSON D.O. (MEMBER)
- **Authorized official phone:** (816) 741-2286

## Contact information

- **Practice address:** 5861 NW 72ND ST, KANSAS CITY, MO 64151-1483
- **Practice address phone:** (816) 741-2286
- **Practice address fax:** (816) 587-2436
- **Mailing address:** 5861 NW 72ND ST, KANSAS CITY, MO 64151-1483
- **Mailing address phone:** (816) 741-2286
- **Mailing address fax:** (816) 587-2436

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 106031 | MO | Yes |

## Other

- **Enumeration date:** 05/15/2007
- **Last updated:** 03/27/2013