| Menorah Family Physicians Llc | |
|
5701 W 119th St Suite 135 Overland Park KS 66209-3722 | |
| (913) 451-1311 | |
| Not Available |
| Full Name | Menorah Family Physicians Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5701 W 119th St, Overland Park, Kansas |
| Authorized Official Name and Position | Ken Washington (VP) |
| Authorized Official Contact | 9134511311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Menorah Family Physicians Llc 5701 W 119th St Suite 135 Overland Park KS 66209-3722 Ph: (913) 451-1311 | Menorah Family Physicians Llc 5701 W 119th St Suite 135 Overland Park KS 66209-3722 Ph: (913) 451-1311 |
| NPI Number | 1205871555 |
|---|---|
| Provider Enumeration Date | 06/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205871555 | NPI | - | NPPES |
| 20-877559-01 | Medicaid | KS | |
| 11372027 | Other | KS | BCBS OF KANSAS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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