Organization
THE BAOBAB TREE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY LARTEY CPM (DIRECTOR)
(816) 791-7239
Entity
Organization
Contact information
Practice address
4707 NEBRASKA AVE, KANSAS CITY, KS 66102-1735
(816) 791-7239
(816) 791-7165
Mailing address
5824 E 40TH TER, KANSAS CITY, MO 64129-1714
(816) 895-2742
(816) 791-7165
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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