| Advanced Healthcare & Sports Injury, Pa | |
|
20160 W. 153rd Street Olathe KS 66062-9131 | |
| (913) 764-2271 | |
| (913) 764-2276 |
| Full Name | Advanced Healthcare & Sports Injury, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 20160 W. 153rd Street, Olathe, Kansas |
| Authorized Official Name and Position | Kirk J Iodice (PRESIDENT) |
| Authorized Official Contact | 9137642271 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Healthcare & Sports Injury, Pa 20160 W. 153rd Street Olathe KS 66062-9131 Ph: (913) 764-2271 | Advanced Healthcare & Sports Injury, Pa 20160 W. 153rd Street Olathe KS 66062-9131 Ph: (913) 764-2271 |
| NPI Number | 1811345432 |
|---|---|
| Provider Enumeration Date | 05/25/2016 |
| Last Update Date | 05/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811345432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | KS0421704 (Kansas) | Primary |
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