Organization
CLAY PLATTE FAMILY MEDICINE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT H KUENNEN M.D. (PRESIDENT)
(816) 842-4440
Entity
Organization
Contact information
Practice address
5501 NW 62ND TER STE 100, KANSAS CITY, MO 64151-2412
(816) 842-4440
(816) 842-1974
Mailing address
5501 NW 62ND TER STE 100, KANSAS CITY, MO 64151-2412
(816) 842-4440
(816) 842-1974
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
505360107
—
MO
Enumeration date
04/28/2006
Last updated
10/25/2022
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