Organization
COMPASSIONATE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN EDITH BUCKLES RN (OFFICE MANAGER)
(816) 279-4882
Entity
Organization
Contact information
Practice address
3949 SHERMAN AVE, SAINT JOSEPH, MO 64506-3649
(816) 279-4882
(816) 279-4008
Mailing address
PO BOX 4944, BELFAST, ME 04915-4900
(816) 279-4882
(816) 279-4008
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
05-32172
KS
207Q00000X
Family Medicine Physician
Primary
2000172096
MO
207Q00000X
Family Medicine Physician
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Other
Enumeration date
11/20/2006
Last updated
09/30/2011
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