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15710 W 135th St Ste 200 Olathe KS 66062-1508 | |
(913) 297-7472 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 15710 W 135th St Ste 200, Olathe, Kansas |
Authorized Official Name and Position | Karsten Randolph (EVP & CFO) |
Authorized Official Contact | 9136762152 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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7315 E Frontage Rd Ste 101 Merriam KS 66204-1658 Ph: () - | 15710 W 135th St Ste 200 Olathe KS 66062-1508 Ph: (913) 297-7472 |
NPI Number | 1326551144 |
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Provider Enumeration Date | 11/15/2017 |
Last Update Date | 11/15/2017 |
Identifier | Type | State | Issuer |
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1326551144 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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