| Weng Professional Corporation | |
|
11661 College Blvd Overland Park KS 66210-4107 | |
| (913) 954-8500 | |
| Not Available |
| Full Name | Weng Professional Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 11661 College Blvd, Overland Park, Kansas |
| Authorized Official Name and Position | Lee T Weng (PRESIDENT) |
| Authorized Official Contact | 8163737944 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Weng Professional Corporation 11661 College Blvd Overland Park KS 66210-4107 Ph: (913) 954-8500 | Weng Professional Corporation 11661 College Blvd Overland Park KS 66210-4107 Ph: (913) 954-8500 |
| NPI Number | 1326190976 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 03/27/2019 |
| Medicare PECOS PAC ID | 5799731931 |
|---|---|
| Medicare Enrollment ID | O20050330000755 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326190976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | R7G24 (Missouri) | Primary |
| Provider Name | Lee T Weng |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902849102 PECOS PAC ID: 9739358094 Enrollment ID: I20190709002910 |
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