Organization
SOUTHTOWN WOMENS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK J KUENY (VP)
(816) 333-3131
Entity
Organization
Contact information
Practice address
6400 PROSPECT AVE, SUITE 546, KANSAS CITY, MO 64132-1100
(816) 333-3131
(816) 333-2295
Mailing address
6400 PROSPECT AVE, SUITE 546, KANSAS CITY, MO 64132-1100
(816) 333-3131
(816) 333-2295
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100643340A
—
KS
05
—
509274700
—
MO
Enumeration date
05/28/2006
Last updated
10/17/2009
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