SearchMissouri183500000X

James Wall

NPI 1992066070 · on the registry since 2012 · sole proprietor

Practice

Address
5805 N Polk Dr
Kansas City, MO 64151
Phone
(816) 505-3560
Fax
(816) 505-3560

Registry record

Primary taxonomy
183500000X
183500000X
Also registered as
183500000X
183500000X
Licence states on file
TX, MO, KS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-06-05

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