Organization
NORTHLAND PSYCHIATRIC SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIOLA C HILL (OFFICE MANAGER)
(816) 453-6777
Entity
Organization
Contact information
Practice address
211 NE 54TH ST, SUITE 201, KANSAS CITY, MO 64118-4390
(816) 453-6777
(816) 454-3601
Mailing address
211 NE 54TH ST, SUITE 201, KANSAS CITY, MO 64118-4390
(816) 453-6777
(816) 454-3601
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2002010580
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF7523
MEDICARE RAILROAD
MO
Enumeration date
03/15/2007
Last updated
04/01/2014
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