SearchMissouriAmbulatory Surgical Clinic/Center

Charles Allen, NURSE PRACTITIONER

NPI 1275285751 · on the registry since 2022 · sole proprietor

Practice

Address
2321 Troost Ave Ste 101
Kansas City, MO 64108
Phone
(816) 200-2409
Fax
(816) 320-0028
Organisation at this address
Aesthetic Luxury Spa Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Additional practice sites

  • 417 Sw Ward Rd, Lees Summit, MO

Registry record

Primary taxonomy
Ambulatory Surgical Clinic/Center
261QA1903X
Also registered as
Obesity and Weight Management Nutrition Registered Dietitian
Clinical Ethicist
Licence states on file
MO, GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-12-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri