| |
1803 S Ridgeview Rd Olathe KS 66062-2376 | |
(913) 829-0505 | |
(913) 338-1311 |
Full Name | |
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Speciality | Family Medicine |
Location | 1803 S Ridgeview Rd, Olathe, Kansas |
Authorized Official Name and Position | Chuck Chambers (ADMINISTRATOR) |
Authorized Official Contact | 9134690503 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 741331 Atlanta GA 30374-1331 Ph: (913) 428-1500 | 1803 S Ridgeview Rd Olathe KS 66062-2376 Ph: (913) 829-0505 |
NPI Number | 1902061302 |
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Provider Enumeration Date | 07/24/2008 |
Last Update Date | 12/07/2016 |
Identifier | Type | State | Issuer |
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1902061302 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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