Organization
CLAY PLATTE FAMILY MEDICINE CLINIC
Active
Other names
Summit Family & Sports Medicine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT H KUENNEN MD (PRESIDENT)
(816) 842-4440
Entity
Organization
Contact information
Practice address
3601 NE RALPH POWELL RD STE D, LEES SUMMIT, MO 64064-2358
(816) 842-4440
Mailing address
5501 NW 62ND TER STE 100, KANSAS CITY, MO 64151-2412
(816) 842-4440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6150520002
NSC
—
Enumeration date
01/21/2019
Last updated
10/25/2022
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