TRINITY PRIMARY CARE CLINIC
Ambulatory Health at 103 St, Kansas City, MO

License number
Missouri 155480
Category
Ambulatory Health
Type
Primary Care
Owner
Name: MRS. TIWANA ALLEN MSN
Title: APRN
Phone: (913) 961-1478
Address
Address
520 W 103Rd St STE 172, Kansas City, MO 64114
National Provider ID: 1922358084
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TRINITY PRIMARY CARE CLINIC

520 W 103 St SUITE 172, Kansas City, MO 64114

Registration:
Aug 14, 2012
State ID:
N01248857
Business type:
Nonprofit Corporation
Expiration:
Perpetual
Agent:
Tiwana Allen,520 W 103 St SUITE 172, Kansas City, MO 64114 (Physical)

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