Organization
KANSAS CITY FAMILY ALLERGY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. F, SCOTT DATTEL M.D. (OWNER/PROVIDER)
(816) 941-6400
Entity
Organization
Contact information
Practice address
1004 CARONDELET DR, SUITE 335, KANSAS CITY, MO 64114-4801
(816) 941-6400
(816) 941-6404
Mailing address
1004 CARONDELET DR, SUITE 335, KANSAS CITY, MO 64114-4801
(816) 941-6400
(816) 941-6404
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
100376
MO
Other
Enumeration date
05/23/2016
Last updated
05/23/2016
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