Organization
MISSOURI INTENSIVIST SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISHA FALK (VICE PRESIDENT)
(337) 609-1221
Entity
Organization
Contact information
Practice address
2316 E MEYER BLVD, KANSAS CITY, MO 64132-1199
(816) 276-4000
(816) 276-4387
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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