| Mt. Oread Family Practice | |
|
3510 Clinton Pkwy Lawrence KS 66047-2145 | |
| (785) 842-5070 | |
| (785) 505-5096 |
| Full Name | Mt. Oread Family Practice |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3510 Clinton Pkwy, Lawrence, Kansas |
| Authorized Official Name and Position | Kelly Suzanne Jimenez (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 7858425070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mt. Oread Family Practice 3510 Clinton Pkwy Lawrence KS 66047-2145 Ph: (785) 842-5070 | Mt. Oread Family Practice 3510 Clinton Pkwy Lawrence KS 66047-2145 Ph: (785) 842-5070 |
| NPI Number | 1902271489 |
|---|---|
| Provider Enumeration Date | 12/09/2015 |
| Last Update Date | 12/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902271489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 53-76993-042 (Kansas) | Primary |
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