Organization
CLINICAL CARDIOVASCULAR ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KERRY HOOK (OFFICE MANAGER)
(913) 381-7117
Entity
Organization
Contact information
Practice address
206 NW MOCK AVE, SUITE 200, BLUE SPRINGS, MO 64014-2507
(816) 224-3107
(816) 224-3914
Mailing address
PO BOX 8650, KANSAS CITY, MO 64114-0650
(913) 381-7117
(913) 383-1316
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100214220B
—
KS
05
—
501733935
—
MO
Enumeration date
07/19/2005
Last updated
07/21/2022
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