| General Kansas Telemedicine Llc | |
|
852 Minnesota Ave Kansas City KS 66101-2609 | |
| (913) 549-4184 | |
| Not Available |
| Full Name | General Kansas Telemedicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 852 Minnesota Ave, Kansas City, Kansas |
| Authorized Official Name and Position | Jose Flores (DIRECTOR) |
| Authorized Official Contact | 8325389188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| General Kansas Telemedicine Llc 852 Minnesota Ave Kansas City KS 66101-2609 Ph: (913) 549-4184 | General Kansas Telemedicine Llc 852 Minnesota Ave Kansas City KS 66101-2609 Ph: (913) 549-4184 |
| NPI Number | 1154041788 |
|---|---|
| Provider Enumeration Date | 09/01/2022 |
| Last Update Date | 09/01/2022 |
| Medicare PECOS PAC ID | 6608243555 |
|---|---|
| Medicare Enrollment ID | O20221104001957 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154041788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Victoria Forsberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255831210 PECOS PAC ID: 9830452242 Enrollment ID: I20221104002023 |
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