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Provider Information for 1851768998


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DARRYL J NARCISSE


Sex: Male

NPI: 1851768998
Last Updated: 2020-01-06
Certification Date: 2020-01-06

Details

NameValue
NPI1851768998
Enumeration Date2015-08-24
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 2710 S CRYSLER AVE
INDEPENDENCE, MO 64052-3243
United States

Phone: 816-599-1652 | Fax:
 
Primary Practice Address 9233 WARD PKWY STE 125
KANSAS CITY, MO 64114-3340
United States

Phone: 816-561-9494 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101Y00000X - Counselor MO2015029917