Basic Information
Provider Information
NPI: 1336188242
EntityType: 2
ReplacementNPI:  
OrganizationName: ORTHOPEDIC HEALTH OF KANSAS CITY P.C.
LastName:  
FirstName:  
MiddleName:  
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Credential:  
OtherOrganizationName: DRISKO, FEE & PARKINS PC
OtherOrganizationType: 4
OtherLastName:  
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Mailing Information
Address1: 1950 DIAMOND PARKWAY
Address2: STE 100
City: NORTH KANSAS CITY
State: MO
PostalCode: 64116
CountryCode: US
TelephoneNumber: 8165613003
FaxNumber: 8168891584
Practice Location
Address1: 1950 DIAMOND PARKWAY SUITE #100
Address2:  
City: NORTH KANSAS CITY
State: MO
PostalCode: 64116
CountryCode: US
TelephoneNumber: 8165613003
FaxNumber: 8168891584
Other Information
ProviderEnumerationDate: 06/06/2006
LastUpdateDate: 06/03/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: WISE
AuthorizedOfficialFirstName: CHRISTOPHER
AuthorizedOfficialMiddleName: L
AuthorizedOfficialTitleorPosition: DOCTOR
AuthorizedOfficialTelephone: 8163032400
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
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AuthorizedOfficialCredential:  
NPICertificationDate: 06/03/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000X MOY193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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