Organization
INFECTIOUS DISEASE ASSOCIATES OF KANSAS CITY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET L GORDON BS MBA (ADMINISTRATOR)
(816) 822-8486
Entity
Organization
Contact information
Practice address
2340 E MEYER BLVD BLDG 2, SUITE 392, KANSAS CITY, MO 64132-1105
(816) 822-8486
(816) 822-0490
Mailing address
2340 E MEYER BLVD BLDG 2, SUITE 392, KANSAS CITY, MO 64132-1105
(816) 822-8486
(816) 822-0490
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100114760A
—
KS
05
—
502397706
—
MO
Enumeration date
04/19/2006
Last updated
11/12/2015
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