Organization
COMMUNITY HOUSE OF WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN MCINTOSH MEDICAL DOCTOR (MEDICAL DIRECTOR)
(913) 233-1733
Entity
Organization
Contact information
Practice address
1121 QUINDARO BLVD, KANSAS CITY, KS 66104-5331
(913) 233-1733
(913) 233-0055
Mailing address
1121 QUINDARO BLVD, KANSAS CITY, KS 66104-5331
(913) 233-1733
(913) 233-0055
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0428352
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200006440A
—
KS
05
—
200006440D
—
KS
01
—
464791
CHILDREN'S MERCY HEALTH P
KS
Enumeration date
05/15/2007
Last updated
09/29/2010
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