Graduated: 2019
NPI: 1376172890
Practice Locations (2)
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 641163281
Source: CMS National Downloadable File, September 2026.