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Organization

OA CENTERS OF KANSAS CITY, LLC

Active
Other names
Freedom Healthcare
Organization subpart
No

Provider details

NPI number
Authorized official
CANDICE CARTER FNP-BC (CLINIC COORDINATOR)
(402) 934-8255
Entity
Organization

Contact information

Practice address
4200 LITTLE BLUE PKWY, SUITE 320, INDEPENDENCE, MO 64057-8312
(816) 867-4140
(636) 412-7989
Mailing address
4200 LITTLE BLUE PKWY, SUITE 320, INDEPENDENCE, MO 64057-8312
(816) 867-4140
(636) 412-7989

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2006025640
MO
225100000X
Physical Therapist
MO

Other

Enumeration date
01/24/2012
Last updated
01/24/2012
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