Organization
ELEVATING CARE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS MARIE MOSBY-PETERSON FNP-C (CEO/OWNER)
(816) 665-6124
Entity
Organization
Contact information
Practice address
2340 E. MEYER BLVD, 208, KANSAS CITY, MO 64132-1105
(816) 665-6124
Mailing address
PO BOX 18447, RAYTOWN, MO 64133-8447
(816) 674-5903
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
2017000664
MO
Other
Enumeration date
08/15/2017
Last updated
01/23/2018
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