Organization
SIGNATURE MEDICAL GROUP OF KC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD SACKMAN (CEO)
(314) 849-0311
Entity
Organization
Contact information
Practice address
2737 NE MCBAINE DR STE A, LEES SUMMIT, MO 64064-7880
(913) 381-5225
(913) 901-0186
Mailing address
12639 OLD TESSON RD STE 115, 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
02/12/2015
Last updated
10/28/2025
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