| Cottonwood Springs Physician Group Llc | |
|
15040 W 138th St Olathe KS 66062-4554 | |
| (913) 154-7265 | |
| Not Available |
| Full Name | Cottonwood Springs Physician Group Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 15040 W 138th St, Olathe, Kansas |
| Authorized Official Name and Position | Regina Warren (DIR. CRED. AND PAYOR ENROLLMENTS) |
| Authorized Official Contact | 5024008480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cottonwood Springs Physician Group Llc 101 S 5th St Ste 3850 Louisville KY 40202-3127 Ph: (412) 588-3546 | Cottonwood Springs Physician Group Llc 15040 W 138th St Olathe KS 66062-4554 Ph: (913) 154-7265 |
| NPI Number | 1255913547 |
|---|---|
| Provider Enumeration Date | 04/26/2021 |
| Last Update Date | 04/26/2021 |
| Certification Date | 04/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255913547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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