Organization
WALDO MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY KELLERMAN (MANAGING MEMBER)
(816) 333-0150
Entity
Organization
Contact information
Practice address
7208 WORNALL RD, KANSAS CITY, MO 64114-1345
(816) 333-0150
(888) 333-3557
Mailing address
7208 WORNALL RD, KANSAS CITY, MO 64114-1345
(816) 333-0150
(888) 333-3557
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/14/2013
Last updated
04/14/2013
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