Organization
HEALTH CENTERS OF AMERICA-KANSAS CITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL RYSER (MEDICAL DIRECTOR)
(816) 763-9165
Entity
Organization
Contact information
Practice address
5308 E 115TH ST, KANSAS CITY, MO 64137-2731
(816) 763-9165
(816) 763-9208
Mailing address
5308 E 115TH ST, KANSAS CITY, MO 64137-2731
(816) 763-9165
(816) 763-9208
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R3788
MO
208000000X
Pediatrics Physician
04-13367
KS
Other
Enumeration date
10/01/2007
Last updated
02/26/2010
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