Ccrc Of Gladstone, Llc

Specialty details in registry · Gladstone, MO

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At a glance

2901 Ne 72Nd St, Gladstone, MO 64119-7400

NPPES record updated Feb 25, 2016. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

2901 Ne 72Nd St
Gladstone, MO 64119-7400
Professional details: NPI, taxonomy & registry record
NPI1033579578
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
314000000X
Enumeration date
Feb 25, 2016
Record updated
Feb 25, 2016
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

314000000X · Primary

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

Practice location

2901 Ne 72Nd St
Gladstone, MO 64119-7400
Phone
(816) 268-4000
Mailing address
11827 W 112TH ST
STE 103
OVERLAND PARK, KS 662102726
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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