Organization
RHEUMATOLOGY SPECIALISTS OF KANSAS CITY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY L WIENS (OFFICE MANAGER)
(816) 753-5736
Entity
Organization
Contact information
Practice address
450 E 4TH ST, #200, KANSAS CITY, MO 64106-1170
(816) 753-5736
Mailing address
450 E 4TH ST, #200, KANSAS CITY, MO 64106-1170
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R9172
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3208006
UNITED HEALTHCARE
—
05
—
502982002
—
MO
Enumeration date
07/05/2007
Last updated
04/30/2018
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