Organization
KANSAS CITY CENTER FOR HIP PRESERVATION AND SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CODY STEPHEN HARLAN M.D. (PRESIDENT)
(816) 721-5140
Entity
Organization
Contact information
Practice address
6100 TIMBERIDGE, PARKVILLE, MO 64152-6099
(816) 721-5140
Mailing address
5901 NW 63RD TER, SUITE 120, KANSAS CITY, MO 64151-3319
(816) 718-4010
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
2010024964
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104870054
NPI
MO
05
—
1104870054
—
MO
Enumeration date
10/22/2015
Last updated
12/09/2015
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