| Ksp Health - Mo Llc | |
|
117 S Lexington St Ste 100 Harrisonville MO 64701-2444 | |
| (316) 516-2853 | |
| Not Available |
| Full Name | Ksp Health - Mo Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 117 S Lexington St Ste 100, Harrisonville, Missouri |
| Authorized Official Name and Position | Muthukumar Vellaichamy (SOLE MEMBER) |
| Authorized Official Contact | 3165162853 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ksp Health - Mo Llc 6446 E Central Ave Ste 183 Wichita KS 67206-1923 Ph: (316) 516-2853 | Ksp Health - Mo Llc 117 S Lexington St Ste 100 Harrisonville MO 64701-2444 Ph: (316) 516-2853 |
| NPI Number | 1124871074 |
|---|---|
| Provider Enumeration Date | 04/10/2024 |
| Last Update Date | 04/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124871074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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