Provider Demographics
NPI:1205962248
Name:SCHOOL DISTRICT OF KANSAS CITY, MISSOURI
Entity type:Organization
Organization Name:SCHOOL DISTRICT OF KANSAS CITY, MISSOURI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COORDINATOR., DIRECT SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:M. KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-418-7840
Mailing Address - Street 1:1211 MCGEE ST
Mailing Address - Street 2:ROOM 905-B., ATTEN: M. KATHERINE MILLER
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64106-2416
Mailing Address - Country:US
Mailing Address - Phone:816-418-7840
Mailing Address - Fax:
Practice Address - Street 1:1211 MCGEE ST
Practice Address - Street 2:ROOM 905-B., ATTEN: M. KATHERINE MILLER
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64106-2416
Practice Address - Country:US
Practice Address - Phone:816-418-7840
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO505241505Medicaid