Provider Demographics
NPI:1750335394
Name:COMFORD, MARGARET KENAN (MSW)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:KENAN
Last Name:COMFORD
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 E RED BRIDGE RD
Mailing Address - Street 2:212
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131-4035
Mailing Address - Country:US
Mailing Address - Phone:816-589-4636
Mailing Address - Fax:816-941-2797
Practice Address - Street 1:400 E RED BRIDGE RD
Practice Address - Street 2:212
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64131-4035
Practice Address - Country:US
Practice Address - Phone:816-589-4636
Practice Address - Fax:816-941-2797
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-19
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOSW0045031041C0700X
KS35501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO28052016OtherBCBS-KC PPO