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6115 Nieman Rd Shawnee KS 66203-2939 | |
| (877) 551-0001 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Birthing |
| Location | 6115 Nieman Rd, Shawnee, Kansas |
| Authorized Official Name and Position | Suzanne Ryan (DIRECTOR) |
| Authorized Official Contact | 9135471495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6115 Nieman Rd Shawnee KS 66203-2939 Ph: (877) 551-0001 | 6115 Nieman Rd Shawnee KS 66203-2939 Ph: (877) 551-0001 |
| NPI Number | 1063701985 |
|---|---|
| Provider Enumeration Date | 03/31/2011 |
| Last Update Date | 08/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063701985 | NPI | - | NPPES |
| 0068275-001 | Other | KS | KANSAS PERMIT FOR OPERATION OF FREE STANDING BIRTH CENTER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QB0400X | Clinic/center - Birthing | 0068275-001 (Kansas) | Primary |
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