State of Missouri
State of Missouri is a Psychiatry Physician in Kansas City, Missouri. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
821 Admiral BlvdKansas City, MO 64106-1516
Phone: (816) 889-3400
Fax: (816) 889-3325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X |
|---|
Record details
| NPI number | 1386198448 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | State of Missouri |
| Authorized official | Molly Boeckmann — Director Of Administrative Services · (573) 751-4055 |
| Other names | Developmental Disabilities Behavior Services; Developmental Disabilities Behavior Services |
| NPI enumerated | August 6, 2016 |
| Last updated in NPPES | October 27, 2020 |
| Certification date | October 27, 2020 |
| Mailing address | Po Box 687, Attn: Reimbursement Section, Jefferson City, MO 65102-0687 |
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Mark Sundahl, MD
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Dr. David McDougald Terry, MD
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