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

Excelsior Springs Physicians Clinics LLC

Organization Internal Medicine Physician · NPI 1710300298

Excelsior Springs Physicians Clinics LLC is an Internal Medicine Physician in Excelsior Springs, Missouri. Licensed in Missouri. Registered with an NPI since 2014.

Licensed in
MO
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1700 Rainbow Blvd
Excelsior Springs, MO 64024-1182
Phone: (816) 629-2623
Fax: (816) 629-2722
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence D0113134 (MO)

Record details

NPI number1710300298
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Boomgarden — Physicians Practice Manager · (816) 629-2623
NPI enumeratedFebruary 4, 2014
Last updated in NPPESFebruary 4, 2014
Mailing address613 W 6th St, Lawson, MO 64062-8973

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