NPI:
1164476339
Provider Name:
MIDWEST AORTIC & VASCULAR INSTITUTE, P.C.
Former Legal Business Name: KANSAS CITY VASCULAR, P.C.
Classification:
Surgery - 2086S0129X
Entity Type:
Organization
Specialization: Vascular Surgery
Address:
2750 CLAY EDWARDS DRIVE
SUITE 304
NORTH KANSAS CITY, MO
ZIP 64116
Phone:
(816) 842-5555
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MIDWEST AORTIC & VASCULAR INSTITUTE, P.C. is a vascular surgery surgery in North Kansas City, MO. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. MIDWEST AORTIC & VASCULAR INSTITUTE, P.C. NPI is 1164476339. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Kansas City Vascular, P.c..
The provider's business location address is:
2750 CLAY EDWARDS DRIVE
SUITE 304
NORTH KANSAS CITY, MO
ZIP 64116
Phone: (816) 842-5555
Fax: (816) 659-9123
The provider's authorized official is Annette Small .
The authorized official title is Chief Executive Officer and has the following contact phone number (816) 872-1601.
The enumeration date for this NPI number is 5/20/2006 and was last updated on 3/10/2016.