Organization
CHILDREN'S MERCY-COMMUNITY CHOICE PEDIATRICS
Active
Other names
Community Choice Pediatrics - An Affiliate of Children's Mercy
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT D. FINUF II (SENIOR VICE PRESIDENT)
(816) 701-5200
Entity
Organization
Contact information
Practice address
1425 NW BLUE PKWY, LEES SUMMIT, MO 64086-5705
(816) 701-5200
(816) 302-9939
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT DEPT, KANSAS CITY, MO 64108-4619
(816) 701-5201
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500086795
—
MO
Enumeration date
05/26/2020
Last updated
04/22/2025
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