Provider Demographics
NPI:1417904004
Name:RESEARCH FAMILY PHYSICIANS LLC
Entity Type:Organization
Organization Name:RESEARCH FAMILY PHYSICIANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:J
Authorized Official - Last Name:KUENY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-737-1037
Mailing Address - Street 1:10000 E 66TH TER
Mailing Address - Street 2:
Mailing Address - City:RAYTOWN
Mailing Address - State:MO
Mailing Address - Zip Code:64133-5251
Mailing Address - Country:US
Mailing Address - Phone:816-737-1037
Mailing Address - Fax:816-737-0477
Practice Address - Street 1:10000 E 66TH TER
Practice Address - Street 2:
Practice Address - City:RAYTOWN
Practice Address - State:MO
Practice Address - Zip Code:64133-5251
Practice Address - Country:US
Practice Address - Phone:816-737-1037
Practice Address - Fax:816-737-0477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO507572204Medicaid
DD9877Medicare PIN
MO507572204Medicaid