| |
11725 W 112th St Overland Park KS 66210-2761 | |
(913) 469-5579 | |
(913) 338-1311 |
Full Name | |
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Speciality | Family Medicine |
Location | 11725 W 112th St, Overland Park, 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) 469-0503 | 11725 W 112th St Overland Park KS 66210-2761 Ph: (913) 469-5579 |
NPI Number | 1730345885 |
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Provider Enumeration Date | 07/29/2008 |
Last Update Date | 12/07/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730345885 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Midwest Hospital Specialists, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10901 Granada Ln, Ste. 200, Overland Park, KS 66211 Phone: 913-660-1616 Fax: 913-660-1664 | |
Millie Medical Of Kansas, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12022 Blue Valley Pkwy Ste 523, Overland Park, KS 66213 Phone: 561-476-0060 | |
Saint Lukes Physician Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8501 W 95th St, Overland Park, KS 66212 Phone: 913-323-8880 | |
Spira Innovations, Llc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Spira Care Overland Park 7341 W. 133rd St, Overland Park, KS 66213 Phone: 191-329-7747 |