# UROLOGY CHARTERED

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

## Provider details

- **NPI number:** 1841476603
- **Authorized official:** DR. JOHN DAKERS MITCHELL MD (PRESIDENT)
- **Authorized official phone:** (816) 931-0145

## Contact information

- **Practice address:** 2750 CLAY EDWARDS DR, SUITE 604, NORTH KANSAS CITY, MO 64116
- **Practice address phone:** (816) 561-7414
- **Practice address fax:** (816) 561-6130
- **Mailing address:** 6104 LOCKTON LANE, FAIRWAY, KS 66204
- **Mailing address phone:** (816) 931-0145
- **Mailing address fax:** (816) 931-0145

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 29188 | MO | Yes |

## Other

- **Enumeration date:** 01/11/2008
- **Last updated:** 01/16/2008
