Organization
KANSAS CITY HEART GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN STACK (OFFICE MANAGER)
(816) 941-7727
Entity
Organization
Contact information
Practice address
930 CARONDELET DR, SUITE 200, KANSAS CITY, MO 64114-4855
(816) 941-7727
(816) 941-7456
Mailing address
PO BOX 872788, KANSAS CITY, MO 64187-0001
(913) 362-9690
(913) 384-2296
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
MO
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
MO
207RI0011X
Interventional Cardiology Physician
—
MO
207UN0901X
Nuclear Cardiology Physician
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17937010
BCBS-KANSAS CITY
MO
01
—
495273
BCBS-KANSAS
KS
01
—
CI1541
RAILROAD MEDICARE
—
Enumeration date
05/27/2006
Last updated
01/10/2008
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