Organization
SIGNATURE MEDICAL GROUP OF KC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAN VEST (CEO)
(314) 849-0311
Entity
Organization
Contact information
Practice address
10777 NALL AVE, SUITE 300, OVERLAND PARK, KS 66211-1362
(913) 642-0200
(913) 563-6699
Mailing address
12639 OLD TESSON RD, SUITE 100, SAINT LOUIS, MO 63128-2786
(314) 849-0311
(314) 849-4423
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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