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James P Reardon, MD
Prosthetic/Orthotic Supplier in North Kansas City, Missouri
NPI 1891889978

James P Reardon is a Prosthetic/Orthotic Supplier based in The Dalles, MO. James P Reardon practices in North Kansas City, MO and has the professional credentials of MD. The NPI Number for James P Reardon is 1891889978 and holds a License No. 106191 (Missouri).

The current practice location address for James P Reardon is 2790 Clay Edwards Dr, North Kansas City, MO and can be reached out via phone at 816-214-9300 and via fax at 816-214-9330. You can also correspond with James P Reardon through the mailing address at PO BOX 1520, THE DALLES, OR - 97058-8003 (mailing address contact number: 541-298-7971).

Location: 2790 Clay Edwards Dr, North Kansas City, MO, 97058-8003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891889978
Provider Name
James P Reardon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2790 Clay Edwards Dr, North Kansas City, MO, 97058-8003
Phone Number
816-214-9300
Fax Number
816-214-9330
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2790 Clay Edwards Dr
City
North Kansas City
State
Missouri
Zip
64116-3276
Phone Number
816-214-9300
Fax Number
816-214-9330
person
Provider Business Mailing Address Details
Address
Po Box 1520
City
The Dalles
State
Oregon
Zip
97058-8003
Phone Number
541-298-7971
Fax Number
541-296-6431
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
106191 (Missouri)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
106191 (Missouri)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
106191 (Missouri)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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