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

Midtown Family Medicine PC

Organization Family Medicine Physician · NPI 1376784835

Midtown Family Medicine PC is a Family Medicine Physician in Kansas City, Missouri. Licensed in Missouri. Registered with an NPI since 2009.

Licensed in
MO
In the registry since
2009
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3406 Broadway Blvd Ste B
Kansas City, MO 64111-2767
Phone: (816) 756-5839
Fax: (816) 756-5874
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 36683 (MO)

Record details

NPI number1376784835
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Diebold — Office Manager · (816) 756-5839
NPI enumeratedMarch 13, 2009
Last updated in NPPESApril 14, 2021
Certification dateDecember 14, 2020
Mailing address3406 Broadway Blvd Ste B, Kansas City, MO 64111-2767

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