| Leawood Family Care Pa | |
|
11301 Ash St Leawood KS 66211-1643 | |
| (913) 338-4515 | |
| (913) 338-4606 |
| Full Name | Leawood Family Care Pa |
|---|---|
| Speciality | Clinic/center |
| Location | 11301 Ash St, Leawood, Kansas |
| Authorized Official Name and Position | John H Horton (PRESIDENT) |
| Authorized Official Contact | 9133384515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leawood Family Care Pa 11301 Ash St Leawood KS 66211-1643 Ph: (913) 338-4515 | Leawood Family Care Pa 11301 Ash St Leawood KS 66211-1643 Ph: (913) 338-4515 |
| NPI Number | 1952712168 |
|---|---|
| Provider Enumeration Date | 05/12/2014 |
| Last Update Date | 05/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952712168 | NPI | - | NPPES |
| 17D0704165 | Other | KS | CLIA ID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Kansas) | Primary |
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