Organization
GOODWAY HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA M HAYNES APRN (PRESIDENT)
(816) 781-6655
Entity
Organization
Contact information
Practice address
9900 N WILLOW AVE, KANSAS CITY, MO 64157-1045
(816) 781-6655
(816) 781-0600
Mailing address
5468 NE WEDGEWOOD LN, LEES SUMMIT, MO 64064-1222
(816) 781-6655
(816) 781-0600
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
2004024626
MO
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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