OrganizationActive
Dissociative Associates, LLC
NPI 1316658495 · Infusion Therapy Clinic/Center · Lees Summit, MO
Provider details
- NPI number
- 1316658495
- Entity type
- Organization
- Primary specialty
- Infusion Therapy Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Robert Fansler, Office Manager
Practice location
817 Ne Anderson Ln
Lees Summit, MO 64064-1244
Phone: (816) 381-2050
Fax: (816) 503-8271
Mailing address
817 Ne Anderson Ln
Lees Summit, MO 64064-1244
Registry dates
- Enumerated
- 2022-12-08
- Last updated
- 2022-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.