Organization
KC BRACES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAVI RAJANNA (ORTHODONTIST)
(816) 373-0300
Entity
Organization
Contact information
Practice address
1399 NE DOUGLAS ST, LEES SUMMIT, MO 64086-4607
(816) 373-0300
Mailing address
1399 NE DOUGLAS ST, LEES SUMMIT, MO 64086-4607
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/08/2022
Last updated
01/25/2023
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