| Kansas City Internal Medicine Pa | |
|
12140 Nall Ave Suite 100 Overland Park KS 66209-2504 | |
| (913) 451-8500 | |
| (913) 451-1754 |
| Full Name | Kansas City Internal Medicine Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 12140 Nall Ave, Overland Park, Kansas |
| Authorized Official Name and Position | Jean A Hansen (CEO) |
| Authorized Official Contact | 9133197303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kansas City Internal Medicine Pa 12140 Nall Ave Suite 100 Overland Park KS 66209-2504 Ph: (913) 451-8500 | Kansas City Internal Medicine Pa 12140 Nall Ave Suite 100 Overland Park KS 66209-2504 Ph: (913) 451-8500 |
| NPI Number | 1316969884 |
|---|---|
| Provider Enumeration Date | 07/24/2006 |
| Last Update Date | 10/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316969884 | NPI | - | NPPES |
| 200305470 | Medicaid | KS | |
| 506936400 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 111706 (Missouri) | Primary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 103093 (Missouri) | Secondary |
Midwest Hospital Specialists, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10901 Granada Ln, Ste. 200, Overland Park, KS 66211 Phone: 913-660-1616 Fax: 913-660-1664 | |
Francisco M. Garcia, M D Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10640 W 87th St, Overland Park, KS 66214 Phone: 913-888-0780 Fax: 913-888-3402 | |
Millie Medical Of Kansas, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12022 Blue Valley Pkwy Ste 523, Overland Park, KS 66213 Phone: 561-476-0060 | |
Saint Lukes Physician Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8501 W 95th St, Overland Park, KS 66212 Phone: 913-323-8880 | |
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 | |
Optum Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6860 W 115th St, Overland Park, KS 66211 Phone: 913-253-0601 | |
Spira Innovations, Llc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Spira Care Overland Park 7341 W. 133rd St, Overland Park, KS 66213 Phone: 191-329-7747 |