| Living Water Family Care | |
|
8919 Parallel Pkwy Suite 331 Kansas City KS 66112-1636 | |
| (913) 788-2125 | |
| (913) 788-2391 |
| Full Name | Living Water Family Care |
|---|---|
| Speciality | Family Medicine |
| 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 |
|---|---|
| Living Water Family Care Po Box 12095 Kansas City KS 66112-0095 Ph: (913) 788-2125 | Living Water Family Care 8919 Parallel Pkwy Suite 331 Kansas City KS 66112-1636 Ph: (913) 788-2125 |
| NPI Number | 1154414555 |
|---|---|
| Provider Enumeration Date | 09/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154414555 | NPI | - | NPPES |
| 34193012 | Other | BCBS KANSAS CITY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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