Organization
BEATTY PA
Active
Other names
Neurosurgery of KC
Organization subpart
No
Provider details
NPI number
Authorized official
LETITIA A ROEBUCK (ACCOUNTS RECEIVABLE)
(913) 299-9507
Entity
Organization
Contact information
Practice address
2040 HUTTON RD STE 105, KANSAS CITY, KS 66109-4564
(913) 299-9507
(913) 299-9542
Mailing address
2040 HUTTON RD STE 105, KANSAS CITY, KS 66109-4564
(913) 299-9507
(913) 299-9542
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
04-20675
KS
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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