Organization
UNIFIED GOVERNMENT OF WYANDOTTE COUNTY/KANSAS CITY, KANSAS
Active
Other names
Wyandotte-Leavenworth AAA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT S MARTIN (BILLING AGENT)
(620) 442-4811
Entity
Organization
Contact information
Practice address
1300 N 78TH ST STE 100, KANSAS CITY, KS 66112-2406
(913) 328-4531
Mailing address
1300 N 78TH ST STE 100, KANSAS CITY, KS 66112-2406
(913) 328-4531
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100304530A
—
KS
Enumeration date
01/31/2007
Last updated
07/01/2008
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