Organization
KANSAS CITY PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY GRAY (MANAGER)
(816) 941-6400
Entity
Organization
Contact information
Practice address
1004 CARONDELET DR, SUITE 330, KANSAS CITY, MO 64114-4802
(816) 941-6400
(816) 941-6404
Mailing address
1004 CARONDELET DR, SUITE 330, KANSAS CITY, MO 64114-4802
(816) 941-6400
(816) 941-6404
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
09/26/2006
Last updated
08/22/2020
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