# HEARTLAND PHYSICIAN SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HEALIENT PHYSICIAN GROUP
- **Other names:** Kansas City Family Medical Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1669585766
- **Legal business name:** HEALIENT PHYSICIAN GROUP
- **Authorized official:** PAM GAVIN (PRACTICE MANAGER)
- **Authorized official phone:** (816) 941-9030

## Contact information

- **Practice address:** 1004 CARONDELET DR, STE 300A, KANSAS CITY, MO 64114-4801
- **Practice address phone:** (816) 941-9030
- **Practice address fax:** (816) 941-3866
- **Mailing address:** 1004 CARONDELET DR, STE 300A, KANSAS CITY, MO 64114-4801
- **Mailing address phone:** (816) 941-9030
- **Mailing address fax:** (816) 941-3866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 101923 | MO | Yes |

## Other

- **Enumeration date:** 08/16/2006
- **Last updated:** 06/05/2014