Organization
KC CHAUFFEUR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMIKA MECHELLE CLARK (NURSE PRACTITIONER)
(816) 977-5341
Entity
Organization
Contact information
Practice address
2505 E 39TH ST, KANSAS CITY, MO 64128-2440
(816) 588-9474
Mailing address
804 BROADWAY BLVD UNIT 103, KANSAS CITY, MO 64105-1679
(816) 977-5341
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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