Keystone Medical Group, PC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

KEYSTONE MEDICAL GROUP, PC

Practice address

1010 Carondelet Dr Ste 416
Kansas City, MO 64114-4824

Phone

(816) 705-2842

NPI assigned

May 28, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lance Stevenson

Title

Coo

Phone

(913) 486-3196

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anna Lillig

  • Medical Physician Assistant
  • Kansas City, MO
  • NPI 1790376119
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1902646003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 CARONDELET DR STE 416",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144824",
            "telephone_number": "167-052-8428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CARONDELET DR STE 416",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144824",
            "telephone_number": "816-705-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE MEDICAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "913-486-3196"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bertha Ngwain Keti
• Jacob K Kettle, PHARM.D., BCOP
• Jordyn Terese Kettner, PHARMD
• Krystal Anne Keup, M.D.
• Jordan Raishawn Keys, MD
• Nina Khabeishvili, MD
• Ernest Khachaturyan
• Girwan Khadka, PHD
• Zohreh Khakizamani, NURSE PRACTITIONER
• Mai Khalaf, M.D.

• Multi-Specialty Clinic/Center in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Multi-Specialty Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.