Organization
CHILDREN'S MERCY - PEACOCK PEDIATRICS, INC
Active
Other names
Peacock Pediatrics - An affiliate of Children's Mercy
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT D FINUF II (SENIOR VICE PRESIDENT)
(816) 701-5200
Entity
Organization
Contact information
Practice address
805 N 36TH ST STE B, SAINT JOSEPH, MO 64506-2954
(816) 396-6026
Mailing address
2401 GILLHAM RD, ATTN: PROVIDER ENROLLMENT, KANSAS CITY, MO 64108-4619
(816) 701-5200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
830085654
—
MO
Enumeration date
03/22/2022
Last updated
04/23/2025
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