| Organization Name: | MEN'S HEALTHLINK OF KANSAS CITY, INC |
| NPI Number: | 1053474106 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD HOFFINE (DIRECTOR) |
| Mailing Address: | 3600 Ne Ralph Powell Rd Suite C Lees Summit |
| State: | MO US |
| Postal Code: | 640642357 |
| Phone Number: | 8168751105 |
| Fax Number: | 8168751103 |
| NPI Enumeration Date: | 12/19/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |