Organization
TRINITY PRIMARY CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIWANA ALLEN MSN (APRN)
(913) 961-1478
Entity
Organization
Contact information
Practice address
520 W 103RD ST STE 172, KANSAS CITY, MO 64114-4503
(913) 961-1478
Mailing address
520 W 103RD ST STE 172, KANSAS CITY, MO 64114-4503
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
155480
MO
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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