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Organization

KANSAS CITY PULMONARY CLINIC PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LINDA WAGNER (PRACTICE MANAGER)
(816) 333-1919
Entity
Organization

Contact information

Practice address
6420 PROSPECT AVENUE T303, KANSAS CITY PULMONARY CLINIC PA, KANSAS CITY, MO 64132
(816) 333-1919
(816) 361-1930
Mailing address
6420 PROSPECT AVENUE T303, KANSAS CITY PULMONARY CLINIC PA, KANSAS CITY, MO 64132
(816) 333-1919
(816) 361-1930

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207RP1001X
Pulmonary Disease Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10021231A
KS
Enumeration date
04/26/2006
Last updated
09/11/2025
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