| Desoto Family Practice | |
|
6815 Hilltop Rd Ste. 100 Shawnee KS 66226-3532 | |
| (913) 422-2020 | |
| (913) 441-6847 |
| Full Name | Desoto Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 6815 Hilltop Rd, Shawnee, Kansas |
| Authorized Official Name and Position | Steven Donald Rettinger (CEO) |
| Authorized Official Contact | 9134222020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desoto Family Practice 6815 Hilltop Rd Ste. 100 Shawnee KS 66226-3532 Ph: (913) 422-2020 | Desoto Family Practice 6815 Hilltop Rd Ste. 100 Shawnee KS 66226-3532 Ph: (913) 422-2020 |
| NPI Number | 1477626547 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477626547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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