# MOUNT EVEREST MEDICAL

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

## Provider details

- **NPI number:** 1619426863
- **Authorized official:** LOANNA L HALCOMB (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (816) 716-3059

## Contact information

- **Practice address:** 4010 WASHINGTON ST, SUITE 310, KANSAS CITY, MO 64111-2609
- **Practice address phone:** (816) 895-3799
- **Practice address fax:** (816) 817-6338
- **Mailing address:** 4010 WASHINGTON ST, SUITE 310, KANSAS CITY, MO 64111-2609
- **Mailing address phone:** (816) 895-3799
- **Mailing address fax:** (816) 817-6338

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | MO | — |
| 208VP0000X | Pain Medicine Physician | R6D61 | VA | Yes |

## Other

- **Enumeration date:** 09/29/2016
- **Last updated:** 09/29/2016