Organization
HEALTH ADMINISOURCE, LLC
Active
Other names
Kansas City Physical Therapy Group
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA A DUNCAN (ADMINISTRATOR)
(816) 226-4011
Entity
Organization
Contact information
Practice address
7932 N OAK TRFY, SUITE 212, KANSAS CITY, MO 64118-1423
(816) 436-4500
(816) 436-4510
Mailing address
7932 N OAK TRFY, SUITE 212, KANSAS CITY, MO 64118-1423
(816) 436-4500
(816) 436-4510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14112991
U.S. DEPT OF LABOR
MO
01
—
16278037
BLUE CROSS BLUE SHIELD
—
01
—
266626
MEDICARE PART A
—
01
—
4000127
MULTIPLAN
—
01
—
440660
HEALTHLINK
—
01
—
534021
BLUE CROSS BLUE SHIELD KS
KS
01
—
731060
HEALTHCARE PREFERRED
—
01
—
8271336
AETNA
—
01
—
DE3095
MEDICARE RAILROAD
—
01
—
T660000A
MEDICARE PART B
MO
Enumeration date
12/11/2007
Last updated
04/02/2013
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