Organization
NORTHLAND NEUROLOGICAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETH RITTER (BILLING SUPERVISOR)
(816) 472-5157
Entity
Organization
Contact information
Practice address
2790 CLAY EDWARDS DR, SUITE 500, NORTH KANSAS CITY, MO 64116-3276
(816) 472-5157
(816) 472-7201
Mailing address
2790 CLAY EDWARDS DR, SUITE 500, NORTH KANSAS CITY, MO 64116-3276
(816) 472-5157
(816) 472-7201
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15564011
BLUE SHIELD
MO
01
—
1972540524
NPI
MO
05
—
506664804
—
MO
01
—
509500
BLUE SHIELD
KS
Enumeration date
06/01/2006
Last updated
02/09/2011
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