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Organization

WELLBODYKC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RANDALL GOLDSTEIN DO (OWNER)
(913) 220-5724
Entity
Organization

Contact information

Practice address
2111 E KANSAS CITY RD, OLATHE, KS 66061-7050
(913) 220-5724
(913) 222-1907
Mailing address
14375 NW 63RD ST, KANSAS CITY, MO 64152-8701
(913) 220-5724
(913) 222-1907

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
07/29/2022
Last updated
07/29/2022
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