Provider Demographics
NPI:1851079586
Name:ATTENTION DISORDERS CLINIC OF KANSAS CITY
Entity Type:Organization
Organization Name:ATTENTION DISORDERS CLINIC OF KANSAS CITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:HINMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:913-214-2523
Mailing Address - Street 1:6315 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64113-2313
Mailing Address - Country:US
Mailing Address - Phone:518-209-8508
Mailing Address - Fax:
Practice Address - Street 1:6315 WALNUT ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64113-2313
Practice Address - Country:US
Practice Address - Phone:518-209-8508
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-11
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty