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

State of Missouri

Organization Internal Medicine Physician · NPI 1497709083

State of Missouri is an Internal Medicine Physician in Kansas City, Missouri. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2

Practice location Address checks out

1000 E 24th St
Kansas City, MO 64108-2776
Phone: (816) 512-7000
Fax: (816) 512-7509
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1497709083
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationState of Missouri
Authorized official Molly Boeckmann — Director Of Administrative Services · (573) 751-4055
Other names Center For Behavioral Health; Center For Behavioral Health
NPI enumeratedMay 19, 2006
Last updated in NPPESOctober 27, 2020
Certification dateOctober 27, 2020
Mailing address1706 E Elm St, Jefferson City, MO 65101-4130

Other providers in Kansas City