Northland Orthopedic Applicance Inc

Organization Active NPI Durable Medical Equipment & Medical Supplies · Kansas City, MO

NPI 1689747693 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1689747693
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
NORTHLAND ORTHOPEDIC APPLICANCE INC
Practice address
4321 NE Vivion Rd
Suite 104
Kansas City, MO 64119-2838
Phone
(816) 454-6060
Fax
(816) 453-6997
NPI assigned
Nov 16, 2006
Organization subpart
No

Authorized official

Name
Mrs. Patricia M Wilms
Title
Secretary Treasurer Part Owner
Phone
(816) 454-6060

National Provider Directory

Locations

4321 NE Vivion Rd
Ste 104
Kansas City, MO 64119
Phone (816) 454-6060

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

4321 NE Vivion Rd
Suite 104
Kansas City, MO 64119-2838

Mailing address

4321 NE Vivion Rd
Suite 104
Kansas City, MO 64119-2838
Phone (816) 454-6060

Other identifiers

IdentifierTypeStateIssuer
31045011OtherBLUE SHIELD
7058559OtherAETNA

Other providers in Kansas City, MO

All providers in Kansas City, MO · Durable Medical Equipment & Medical Supplies in Missouri

Sources for this page

Verify at the official NPI Registry.