Individual
ANN C MODRCIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3970
(816) 983-6845
Mailing address
2401 GILLHAM ROAD, KANSAS CITY, MO 64109-4619
(816) 234-3970
(816) 983-6845
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
04-24137
KS
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
101831
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100160730A
—
KS
05
—
203610613
—
MO
Enumeration date
04/26/2006
Last updated
09/23/2015
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