| Rosemarie A Romain-tyson Sole Mbr | |
|
4121 W 83rd St 254 Prairie Village KS 66208-5300 | |
| (913) 381-7500 | |
| (913) 381-7505 |
| Full Name | Rosemarie A Romain-tyson Sole Mbr |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4121 W 83rd St, Prairie Village, Kansas |
| Authorized Official Name and Position | Rosemarie A Romain-tyson (PRESIDENT) |
| Authorized Official Contact | 9133817500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosemarie A Romain-tyson Sole Mbr Po Box 25571 Overland Park KS 66225-5571 Ph: (913) 381-7500 | Rosemarie A Romain-tyson Sole Mbr 4121 W 83rd St 254 Prairie Village KS 66208-5300 Ph: (913) 381-7500 |
| NPI Number | 1083065510 |
|---|---|
| Provider Enumeration Date | 06/27/2016 |
| Last Update Date | 06/27/2016 |
| Medicare PECOS PAC ID | 0749576312 |
|---|---|
| Medicare Enrollment ID | O20160907002676 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083065510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Rosemarie A Romain Tyson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780697086 PECOS PAC ID: 4688715949 Enrollment ID: I20100108000252 |
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