Mcentire, James Kelly

Mcentire, James Kelly is an individual health care provider with primary practice located at 241 Nw Mcnary Ct , Lees Summit MO 64086-4011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mcentire, James Kelly can be contacted via phone (816) 347-0064.

Contact Information

Primary practice address
241 Nw Mcnary Ct Lees Summit MO 64086-4011
Fax: (816) 347-0593
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 101255 Missouri

Profile Details

NPI number 1083653018
LBN Legal business name Mcentire, James Kelly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083653018 NPPES
Missouri MEDICAID 24812488

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