Organization
TAKE CARE HEALTH MISSOURI, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH HEGG (ASSISTANT SECRETARY)
(217) 709-2469
Entity
Organization
Contact information
Practice address
401 NE BARRY RD, KANSAS CITY, MO 64155-2878
(855) 925-4733
(217) 709-2345
Mailing address
1901 E VOORHEES ST, MS 640, DANVILLE, IL 61834-4509
(855) 925-4733
(217) 709-2345
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507510709
—
MO
Enumeration date
03/07/2006
Last updated
12/02/2015
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