Organization
PRIMARY CARE CENTER OF KANSAS CITY LLC
Active
Other names
Primary Care Center of Kansas City
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN LYNN JOHNSON DO (PHYSICIAN OWNER)
(816) 795-6000
Entity
Organization
Contact information
Practice address
4741 S ARROWHEAD, SUITE B, INDEPENDENCE, MO 64055
(816) 795-6000
(816) 795-6064
Mailing address
PO BOX 480497, KANSAS CITY, MO 64148
(816) 795-6000
(816) 795-6064
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
D0101786
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
248700718
—
MO
Enumeration date
10/04/2006
Last updated
05/14/2008
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