| Theo J Felts, Md | |
|
23401 Prairie Star Pkwy Suite 120 Lenexa KS 66227-7268 | |
| (913) 676-8600 | |
| (913) 676-8601 |
| Full Name | Theo J Felts, Md |
|---|---|
| Speciality | Family Medicine |
| Location | 23401 Prairie Star Pkwy, Lenexa, Kansas |
| Authorized Official Name and Position | Theo J Felts (SOLE MEMBER LLC) |
| Authorized Official Contact | 9133228859 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theo J Felts, Md 7111 W 151st St 41 Overland Park KS 66223-2231 Ph: (913) 322-8859 | Theo J Felts, Md 23401 Prairie Star Pkwy Suite 120 Lenexa KS 66227-7268 Ph: (913) 676-8600 |
| NPI Number | 1871534248 |
|---|---|
| Provider Enumeration Date | 06/09/2006 |
| Last Update Date | 08/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871534248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 04-26778 (Kansas) | Primary |
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