Individual
JAMES MICHAEL LECLUYSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
222 W GREGORY BLVD, STE 310, KANSAS CITY, MO 64114-1127
(816) 916-7281
Mailing address
209 E 66TH TER, KANSAS CITY, MO 64113
(816) 916-7281
Taxonomy
Speciality
Code
Description
License number
State
193400000X
Single Specialty Group
Primary
2002001828
MO
Other
Enumeration date
11/02/2012
Last updated
09/16/2016
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