Provider Demographics
NPI:1053474106
Name:MEN'S HEALTHLINK OF KANSAS CITY, INC
Entity type:Organization
Organization Name:MEN'S HEALTHLINK OF KANSAS CITY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:HOFFINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-283-2305
Mailing Address - Street 1:3600 NE RALPH POWELL RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64064-2357
Mailing Address - Country:US
Mailing Address - Phone:816-875-1105
Mailing Address - Fax:816-875-1103
Practice Address - Street 1:3600 NE RALPH POWELL RD
Practice Address - Street 2:SUITE C
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64064-2357
Practice Address - Country:US
Practice Address - Phone:816-875-1105
Practice Address - Fax:816-875-1103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty