Organization
PEDIATRIC CARE NORTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN L STORM MD (PRESIDENT)
(816) 587-3200
Entity
Organization
Contact information
Practice address
8781 N PLATTE PURCHASE DR, KANSAS CITY, MO 64155-1829
(816) 587-3200
(816) 587-7644
Mailing address
8781 N PLATTE PURCHASE DR, KANSAS CITY, MO 64155-1829
(816) 587-3200
(816) 587-7644
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2012029116
MO
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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