# SHOAL CREEK FAMILY MEDICINE AND ALLERGY, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Stapleton Family Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710056502
- **Authorized official:** WENDY RENEE STAPLETON (PRACTICE MANAGER)
- **Authorized official phone:** (816) 781-4244

## Contact information

- **Practice address:** 9784 N ASH AVENUE, KANSAS CITY, MO 64157
- **Practice address phone:** (816) 781-4244
- **Practice address fax:** (816) 781-3542
- **Mailing address:** 9784 N ASH AVENUE, KANSAS CITY, MO 64157
- **Mailing address phone:** (816) 781-4244
- **Mailing address fax:** (816) 781-3542

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 113071 | MO | Yes |

## Other

- **Enumeration date:** 11/07/2006
- **Last updated:** 08/22/2020