Organization
ORTHOPEDIC & SPORTS MEDICINE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
L SIOUX KEARNES (OFFICE MANAGER)
(816) 233-9888
Entity
Organization
Contact information
Practice address
300 UTAH ST, HIAWATHA, KS 66434-2314
(785) 742-6286
(785) 742-6286
Mailing address
3107 FREDERICK AVE, SUITE B, SAINT JOSEPH, MO 64506-2956
(816) 233-9888
(816) 233-0414
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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