Organization
CARONDELET PRIMARY CARE NETWORK, INC
Active
Organization
CARONDELET PRIMARY CARE NETWORK, INC
Active
Other names
Carondelet Specialty Care Network
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN CLEARY (VICE PRESIDENT)
(816) 943-2819
Entity
Organization
Contact information
Practice address
1000 CARONDELET DR, KANSAS CITY, MO 64114-4673
(816) 943-4534
Mailing address
1000 CARONDELET DR, KANSAS CITY, MO 64114-4673
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CE0974
RAIL ROAD MEDICARE
MO
Enumeration date
05/18/2006
Last updated
10/19/2007
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