Organization
BROOKSIDE FAMILY MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNE KISNER (PRACTICE ADMINISTRATOR)
(816) 523-9355
Entity
Organization
Contact information
Practice address
7130 WORNALL RD, KANSAS CITY, MO 64114-1344
(816) 523-9355
(816) 523-9358
Mailing address
7130 WORNALL RD, KANSAS CITY, MO 64114-1344
(816) 523-9355
(816) 523-9358
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
118396
MO
Other
Enumeration date
04/24/2007
Last updated
08/22/2020
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