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Contact Information

INITY CCPRX HOME CARE LLC
8930 EVANSTON AVE
KANSAS CITY, MO64138-4732
 Phone: 816-617-1398
 Fax: 816-832-8236
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Case Management

163WC0400X
Indicates primary specialty

NPI Profile & details for INITY CCPRX HOME CARE LLC · (Female)

NPI # 1285119545
Status Active
Credentials
Entity Individual
Enumeration date 10/02/2018
Last updated 09/26/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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