| Family Practice Associates Chtd | |
|
1150 N 75th Pl Suite 200 Kansas City KS 66112-3302 | |
| (913) 299-2100 | |
| (913) 299-4205 |
| Full Name | Family Practice Associates Chtd |
|---|---|
| Speciality | Family Medicine |
| Location | 1150 N 75th Pl, Kansas City, Kansas |
| Authorized Official Name and Position | Vicente Carlos Palmeri (CEO) |
| Authorized Official Contact | 9132992100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Associates Chtd Po Box 12066 Kansas City KS 66112-0066 Ph: (913) 299-4966 | Family Practice Associates Chtd 1150 N 75th Pl Suite 200 Kansas City KS 66112-3302 Ph: (913) 299-2100 |
| NPI Number | 1790794089 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 12/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790794089 | NPI | - | NPPES |
| C470000 | Other | KS | MEDICARE PTAN |
| C470000A | Other | KS | MEDICARE PTAN |
| 100289320B | Medicaid | KS | |
| 100289320A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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