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KEYSTONE MEDICAL GROUP, PC
NPI 1902646003
Clinic/Center - Multi-Specialty in Kansas City, MO

Active since May 28, 2024
1010 CARONDELET DR STE 416, KANSAS CITY, MO 64114(816) 705-2842 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Multi-Specialty

About KEYSTONE MEDICAL GROUP, PC

This page provides the complete NPI Profile along with additional information for Keystone Medical Group, Pc, a provider established in Kansas City, Missouri operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1902646003 assigned on May 2024. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Lance Stevenson (Coo)

NPI
1902646003 Verify this NPI
Provider Name
KEYSTONE MEDICAL GROUP, PC
Entity Type
Organization
Location Address
1010 CARONDELET DR STE 416 KANSAS CITY, MO 64114
Location Phone
(816) 705-2842
Mailing Address
1010 CARONDELET DR STE 416 KANSAS CITY, MO 64114
Mailing Phone
(167) 052-8428
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-28-2024
Last Update Date
05-28-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LANCE STEVENSON

Authorized Official Title
COO
Authorized Official Phone
(913) 486-3196

Reviews for KEYSTONE MEDICAL GROUP, PC

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

ANNA LILLIG
Physician Assistant (Medical)
1010 CARONDELET DR STE 416
KANSAS CITY, MO 64114
Jackson County (816) 705-2842

Frequently Asked Questions

What is KEYSTONE MEDICAL GROUP, PC's NPI number?

The NPI number assigned to this healthcare provider is 1902646003, enumerated as an "organization" on May 28, 2024.

Where is the provider located?

The provider is located at 1010 CARONDELET DR STE 416 KANSAS CITY, MO 64114 and the phone number is (816) 705-2842.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.