Organization
GEN 3 IV HYDRATION AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MAXEY RN (OWNER)
(816) 560-2286
Entity
Organization
Contact information
Practice address
418 NW LEGACY DR, KANSAS CITY, MO 64155-2894
(816) 599-0053
Mailing address
1210 NE CORONADO DR, BLUE SPRINGS, MO 64014-2928
(816) 661-0335
(816) 552-1228
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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