OrganizationActive
Kcpedsrd LLC
NPI 1548989502 · Medical Specialty Clinic/Center · Lees Summit, MO
Provider details
- NPI number
- 1548989502
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Alexandra Gregg, Dietitian
Practice location
2420 Sw Winterfield Ct
Lees Summit, MO 64081-4098
Phone: (816) 875-0077
Mailing address
8450 Nw Prairie View Rd # 1441
Kansas City, MO 64153-1841
Registry dates
- Enumerated
- 2022-08-24
- Last updated
- 2022-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.