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

Northside Clinic

Organization Family Medicine Physician · NPI 1538286091

Northside Clinic is a Family Medicine Physician in Kansas City, Kansas. Licensed in Kansas. Registered with an NPI since 2007.

Licensed in
KS
In the registry since
2007

Practice location Address checks out

2211 N 13th St
Kansas City, KS 66104-5649
Phone: (913) 233-1911
Fax: (913) 321-5185
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 0428352 (KS)

Record details

NPI number1538286091
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marvin McIntosh — Medical Director · (913) 233-1911
NPI enumeratedMarch 22, 2007
Last updated in NPPESAugust 22, 2020
Mailing address2211 N 13th St, Kansas City, KS 66104-5649

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