Organization
SERC HAND NORTH INC
Active
Other names
SERC Hand Metro North
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN R LARSON OTR/L, CHT (CLINIC DIRECTOR)
(816) 420-0286
Entity
Organization
Contact information
Practice address
8409 N MAIN ST, KANSAS CITY, MO 64155-2426
(816) 420-0286
(816) 420-8207
Mailing address
8409 N MAIN ST, KANSAS CITY, MO 64155-2426
(816) 420-0286
(816) 420-8207
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
004600
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39684012
BCBS OF KC
MO
Enumeration date
08/05/2009
Last updated
08/05/2009
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