| Indian Creek Primary Care | |
|
10777 Nall Ave Ste 140 Overland Park KS 66211-1362 | |
| (913) 754-4599 | |
| (913) 754-3996 |
| Full Name | Indian Creek Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 10777 Nall Ave, Overland Park, Kansas |
| Authorized Official Name and Position | Steven Brown (DIRECTOR OF BILLING) |
| Authorized Official Contact | 9139455603 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indian Creek Primary Care 2330 Shawnee Mission Pkwy Suite 312 Westwood KS 66205-2005 Ph: (913) 945-5614 | Indian Creek Primary Care 10777 Nall Ave Ste 140 Overland Park KS 66211-1362 Ph: (913) 754-4599 |
| NPI Number | 1932460177 |
|---|---|
| Provider Enumeration Date | 06/05/2012 |
| Last Update Date | 06/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932460177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Optum Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6860 W 115th St, Overland Park International Trade, Overland Park, KS 66211 Phone: 800-645-9656 | |
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