OrganizationActive
Health Impact Partners
NPI 1053197251 · Medical Foods Supplier · Independence, MO
Provider details
- NPI number
- 1053197251
- Entity type
- Organization
- Primary specialty
- Medical Foods SupplierSuppliers
- Authorized official
- Kelvin Dam, Manager
Mailing address
312 Sw Greenwich Dr # 174
Lees Summit, MO 64082-4408
Registry dates
- Enumerated
- 2023-09-04
- Last updated
- 2023-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.