SHOAL CREEK FAMILY MEDICINE AND ALLERGY, PC
Marriage and Family Therapists at Ash Ave, Kansas City, MO

License number
Missouri 113071
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: WENDY RENEE STAPLETON
Title: PRACTICE MANAGER
Phone: (816) 781-4244
Address
Address
9784 N Ash Ave, Kansas City, MO 64157
National Provider ID: 1710056502
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SHOAL CREEK FAMILY MEDICINE AND ALLERGY, PC

Kansas City, MO

Status:
Inactive
Doing business as:
SHOAL CREEK FAMILY MEDICINE AND ALLERGY, INC
Registration:
Nov 18, 2002
Addresses:
9784 N Ash Ave, Kansas City, MO 64157 (Physical)
State ID:
P00515001
Business type:
Professional Corporation
Expiration:
Perpetual
Agent:
Ronald C. Mullennix,2 South Main, Liberty, MO 64068 (Physical)

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