Gorge Washington University

Specialty details in registry · Kansas City, MO

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At a glance

4744 Oak St, Kansas City, MO 64112-2269

NPPES record updated May 22, 2013. Public records can lag behind changes at a practice.

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Practice location

4744 Oak St Apt 940
Kansas City, MO 64112-2269

Professional details: NPI, taxonomy & registry record

NPI1033556600

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 390200000X
Enumeration date: May 22, 2013
Record updated: May 22, 2013

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

390200000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4744 Oak St
Apt 940
Kansas City, MO 64112-2269

Phone: (312) 560-1499

Mailing address

4744 OAK ST
APT 940
KANSAS CITY, MO 641122269

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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