Organization
DOCTORS CLINIC OF KC
Active
Organization
DOCTORS CLINIC OF KC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RITA STANLEY M.D. (OWNER AND OPERATOR)
(816) 444-6055
Entity
Organization
Contact information
Practice address
6650 TROOST AVE, STE 205, KANSAS CITY, MO 64131-1215
(816) 444-6055
(816) 444-6033
Mailing address
PO BOX 480, SMITHVILLE, MO 64089-0480
(816) 444-6055
(816) 444-6033
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R9J37
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P291524
MEDICARE PROVIDER NUMBER
MO
Enumeration date
09/07/2007
Last updated
09/10/2007
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