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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