Organization
KC SPECIALTIES OCCUPATIONAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN MELENDEZ (OFFICE MANAGER)
(816) 795-6000
Entity
Organization
Contact information
Practice address
4741 S ARROWHEAD DR, INDEPENDENCE, MO 64055-6957
(816) 795-6000
Mailing address
4741 S ARROWHEAD DR, INDEPENDENCE, MO 64055-6957
(816) 795-6000
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780957290
OCCUPATIONAL MEDICINE WORKERS COMPENSATION
MO
Enumeration date
07/14/2022
Last updated
07/14/2022
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