Organization
FOREST PARK NEUROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANA V ANGELES CPC (PRACTICE COORDINATOR)
(847) 251-2400
Entity
Organization
Contact information
Practice address
5811 E TRUMAN RD, KANSAS CITY, MO 64126-2400
(816) 600-1816
(877) 274-1845
Mailing address
5811 E TRUMAN RD, KANSAS CITY, MO 64126-2400
(816) 600-1816
(877) 274-1845
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
1116914
MO
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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