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4400 College Blvd Ste 150, Overland Park, KS 66211-2326 | |
(913) 667-2298 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Nurse Practitioner |
Location | 4400 College Blvd Ste 150, 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 |
---|---|---|---|
1801155486 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
Provider Name | Matthew R Metcalf |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1609898048 PECOS PAC ID: 4183665748 Enrollment ID: I20050513000655 |
Provider Name | Kelly Gonzalez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295127363 PECOS PAC ID: 8921326430 Enrollment ID: I20200422000404 |
Provider Name | Valentina Picasso Almaraz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386419588 PECOS PAC ID: 5597012773 Enrollment ID: I20240612003223 |
Mailing Address | Practice Location Address |
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4400 College Blvd Ste 150, Overland Park, KS 66211-2326 Ph: (913) 667-2298 | 4400 College Blvd Ste 150, Overland Park, KS 66211-2326 Ph: (913) 667-2298 |