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Organization

KANSAS CITY GERIATRICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN EUGENE FARRRELL D.O. (OWNER)
(816) 931-5594
Entity
Organization

Contact information

Practice address
3014 OAK ST, KANSAS CITY, MO 64108-3240
(816) 931-5594
Mailing address
3014 OAK ST, KANSAS CITY, MO 64108-3240
(816) 931-5594

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2008021948
MO
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
113250
MO

Other

Enumeration date
10/12/2015
Last updated
02/19/2021
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