| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 15270 W 199th, Olathe, Kansas |
| Authorized Official Name and Position | Ken Washington (VP) |
| Authorized Official Contact | 8165084090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
15270 W 199th Olathe KS 66062 Ph: (913) 254-0828 | 15270 W 199th Olathe KS 66062 Ph: (913) 254-0828 |
| NPI Number | 1427002237 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427002237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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