Organization
LPP OF MISSOURI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER R KELLY (CHAIRMAN & CEO)
(615) 554-6885
Entity
Organization
Contact information
Practice address
201 NW R D MIZE RD, BLUE SPRINGS, MO 64014
(816) 228-5900
Mailing address
211 COMMERCE ST STE 800, NASHVILLE, TN 37201-1817
(712) 210-6774
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
06/01/2017
Last updated
06/01/2017
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