Organization
PROMPT MEDICAL CLINIC INC.
Active
Other names
Enhanced Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
ARPORN SIRIWANGCHAI (VICE PRESIDENT)
(816) 252-6647
Entity
Organization
Contact information
Practice address
1325 S NOLAND RD, INDEPENDENCE, MO 64055-1303
(816) 252-6647
(816) 252-0012
Mailing address
1325 S NOLAND RD STE C, INDEPENDENCE, MO 64055-1346
(816) 252-6647
(833) 673-0532
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10365019
BCBS OF KANSAS CITY
MO
Enumeration date
05/17/2006
Last updated
04/08/2022
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