Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Excelsior Springs Pediatric Clinic

Organization Pediatrics Physician · NPI 1568750420

Excelsior Springs Pediatric Clinic provides Pediatrics Physician services in Excelsior Springs, Missouri. Licensed in Missouri. Registered with an NPI since 2011.

Licensed in
MO
In the registry since
2011
Specialties on file
2

Practice location Address checks out

1006 N Jesse James Rd Ste 2
Excelsior Springs, MO 64024-1202 Not confirmed with CMS for 15 years — call before visiting
Phone: (816) 637-0117
Fax: (816) 637-0814
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence R6H00 (MO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 2011006205 (MO)

Record details

NPI number1568750420
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelli Bowman — Office Manager · (816) 637-0117
NPI enumeratedJuly 13, 2011
Last updated in NPPESJuly 13, 2011
Mailing address1006 N Jesse James Rd, Ste 2, Excelsior Springs, MO 64024-1202

Other providers in Excelsior Springs