Organization
DIVERSITY TELEHEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELLEY COOPER (CEO)
(913) 710-3818
Entity
Organization
Contact information
Practice address
1601 EAST 18TH STREET, 320A, KANSAS CITY, MO 64108
(913) 710-3818
Mailing address
1601 EAST 18TH STREET, 320A, KANSAS CITY, MO 64108
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
04/25/2020
Last updated
04/25/2020
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