| Intensive Diabetes Management | |
|
8919 Parallel Pkwy Suite 360 Kansas City KS 66112-1636 | |
| (913) 596-3940 | |
| (913) 596-3950 |
| Full Name | Intensive Diabetes Management |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 8919 Parallel Pkwy, Kansas City, Kansas |
| Authorized Official Name and Position | James T Paquette (CEO) |
| Authorized Official Contact | 9135964000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intensive Diabetes Management Po Box 12352 Kansas City KS 66112-0352 Ph: (913) 596-3940 | Intensive Diabetes Management 8919 Parallel Pkwy Suite 360 Kansas City KS 66112-1636 Ph: (913) 596-3940 |
| NPI Number | 1548353899 |
|---|---|
| Provider Enumeration Date | 10/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548353899 | NPI | - | NPPES |
| 34213011 | Other | BCBS KANSAS CITY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
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