Individual
LINDA JEAN MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
100 NW MOCK AVE STE 200, BLUE SPRINGS, MO 64014-2500
(816) 228-1000
Mailing address
100 NW MOCK AVE STE 200, BLUE SPRINGS, MO 64014-2500
(816) 228-1000
(816) 463-6035
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R3D26
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14059097
BCBS OF KANSAS CITY
MO
Enumeration date
10/21/2005
Last updated
02/16/2022
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