Organization
CABOT WESTSIDE HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ABERNATHY (DIRECTOR OF FINANCE)
(816) 932-7941
Entity
Organization
Contact information
Practice address
2121 SUMMIT ST, KANSAS CITY, MO 64108-2126
(816) 471-0900
(816) 471-3150
Mailing address
PO BOX 504939, SAINT LOUIS, MO 63150-0001
(816) 932-7940
(816) 932-7957
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
501150403
—
MO
Enumeration date
05/19/2006
Last updated
03/31/2010
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