Organization
KANSAS CITY MEDICAL PARTNERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOY E CUEZZE M.D. (PHYSICIAN)
(816) 931-1278
Entity
Organization
Contact information
Practice address
3066 SW GRANDSTAND CIR, LEES SUMMIT, MO 64081-3866
(913) 215-5008
Mailing address
3066 SW GRANDSTAND CIR, LEES SUMMIT, MO 64081
(913) 215-5008
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39522016
BLUE CROSS/BLUE SHIELD
—
01
—
MA1002
MEDICARE PTAN
—
Enumeration date
10/19/2007
Last updated
08/29/2017
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