Organization
JAMES K. MCENTIRE, D.O., P.C.
Active
Other names
Preferred Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY JEAN MCENTIRE (SECRECTARY OF CORPORATION)
(816) 347-0064
Entity
Organization
Contact information
Practice address
241 NW MCNARY CT, LEES SUMMIT, MO 64086-4011
(816) 347-0064
(816) 347-0593
Mailing address
241 NW MCNARY CT, LEES SUMMIT, MO 64086-4011
(816) 347-0064
(816) 347-0593
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100380340C
—
KS
05
—
100419760C
—
KS
05
—
205839806
—
MO
05
—
248124828
—
MO
01
—
29963014
BLUE CROSS BLUE SHIELD OF KANSAS CITY
MO
01
—
33338
HEALTHCARE USA
MO
01
—
39784
HEALTHCARE USA , DR. GRAHAM
MO
05
—
420629800
—
MO
01
—
61581
HEALTHCARE USA, SHERRI QUICK, RN, CPNP
MO
01
—
700856
MERCY CAREPLUS, SHERRI QUICK, RN, CPNP
MO
01
—
890896
MERCY CAREPLUS, DR. MCENTIRE
MO
01
—
890907
MERCY CAREPLUS, DR. GRAHAM
MO
01
—
A0429720
UNICARE, DR. GRAHAM
KS
01
—
A0529165
UNICARE, DR. MCENTIRE
KS
Enumeration date
06/24/2008
Last updated
06/24/2008
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