Graduated: 2025
NPI: 1215785076
Practice Locations (3)
7315 E FRONTAGE RD, SUITE 206
MERRIAM, KS 662041658
2800 CLAY EDWARDS DR, CENTRAL VERIFICATION OFFICE AND PAYOR ENR
North Kansas City, MO 641163220
2800 CLAY EDWARDS DRIVE, CENTRAL VERIFICATION OFFICE AND PAYOR ENROLLMENT
NORTH KANSAS CITY, MO 641163220
Source: CMS National Downloadable File, September 2026.