Organization
KANSAS CITY CARDIOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA ENNA (OFFICE MANAGER)
(816) 523-4525
Entity
Organization
Contact information
Practice address
101 S 1ST ST, IOLA, KS 66749-3505
(816) 523-4525
(816) 523-6307
Mailing address
6420 PROSPECT AVE STE T509, KANSAS CITY, MO 64132-4139
(816) 523-4525
(816) 523-6307
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
110587
KS
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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