Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Excelsior Springs Pediatric Clinic

Organization Pediatrics Physician · NPI 1568750420

Excelsior Springs Pediatric Clinic is a Pediatrics Physician in Excelsior Springs, Missouri. Licensed in Missouri. Registered with an NPI since 2011.

Licensed in
MO
In the registry since
2011
Specialties on file
2

Practice location Address checks out

1006 N Jesse James Rd Ste 2
Excelsior Springs, MO 64024-1202
Phone: (816) 637-0117
Fax: (816) 637-0814
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence R6H00 (MO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 2011006205 (MO)

Record details

NPI number1568750420
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelli Bowman — Office Manager · (816) 637-0117
NPI enumeratedJuly 13, 2011
Last updated in NPPESJuly 13, 2011
Mailing address1006 N Jesse James Rd, Ste 2, Excelsior Springs, MO 64024-1202

Other providers in Excelsior Springs