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Hometown Family Medicine Llc
Primary Care Clinic/Center in Raytown, Missouri
NPI 1265869176

Hometown Family Medicine Llc is a Primary Care Clinic/Center based in Kansas City, MO and is specialized in Primary Care. Hometown Family Medicine Llc practices in Raytown, MO. The NPI Number for Hometown Family Medicine Llc is 1265869176 and holds a License No. 2008013774 (Missouri).

The current practice location address for Hometown Family Medicine Llc is 6317 Evanston Ave, Raytown, MO and can be reached out via phone at 816-353-3939 and via fax at 816-353-2688.

Location: 6317 Evanston Ave, Raytown, MO, 64109-2258
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265869176
Provider Name
Hometown Family Medicine Llc
Credential
Provider Entity Type
Organization
Address
6317 Evanston Ave, Raytown, MO, 64109-2258
Phone Number
816-353-3939
Fax Number
816-353-2688
Provider Enumeration Date
10/09/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1770779530 01 MO INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
6317 Evanston Ave
City
Raytown
State
Missouri
Zip
64133-4929
Phone Number
816-353-3939
Fax Number
816-353-2688
person
Provider Business Mailing Address Details
Address
6317 Evanston Ave
City
Raytown
State
Missouri
Zip
64133-4929
Phone Number
816-353-3939
Fax Number
816-353-2688
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
2008013774 (Missouri)
Definition
Definition to come...
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