| Healthsource Of Se Overland Park | |
|
14864 Metcalf Ave, Overland Park, KS 66223-2206 | |
| (913) 656-2255 | |
| Not Available |
| Full Name | Healthsource Of Se Overland Park |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 14864 Metcalf Ave, Overland Park, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578107850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Noah A Suter |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1346627981 PECOS PAC ID: 3375855661 Enrollment ID: I20191218001410 |
| Provider Name | Melissa Canchola |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1164287397 PECOS PAC ID: 1254773856 Enrollment ID: I20240529000475 |
| Mailing Address | Practice Location Address |
|---|---|
| Healthsource Of Se Overland Park 7401 W 65th St, Mission, KS 66202-3904 Ph: (913) 544-6888 | Healthsource Of Se Overland Park 14864 Metcalf Ave, Overland Park, KS 66223-2206 Ph: (913) 656-2255 |
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