| Progressive Primary Care, Llc | |
|
10777 Nall Ave Suite 140 Overland Park KS 66211-1362 | |
| (913) 754-4599 | |
| (913) 754-3996 |
| Full Name | Progressive Primary Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 10777 Nall Ave, Overland Park, Kansas |
| Authorized Official Name and Position | Douglas S. Anderson (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9137544599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Primary Care, Llc 10777 Nall Ave Suite 140 Overland Park KS 66211-1362 Ph: (913) 754-4599 | Progressive Primary Care, Llc 10777 Nall Ave Suite 140 Overland Park KS 66211-1362 Ph: (913) 754-4599 |
| NPI Number | 1881845626 |
|---|---|
| Provider Enumeration Date | 10/09/2008 |
| Last Update Date | 10/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881845626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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