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>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1245571694

Individual Registrant:
Gender: F
Not Sole Proprietor

Location and contact information for practice:
5405 W 151ST ST  LEAWOOD, KS 66224-8700 US
Tel: 913-323-8830  Fax: 913-323-8831

Contact information for business:
Tel: 816-502-7104  Fax: 816-932-9670

Registration Information:
NPI: 1245571694
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine

Legacy codes, insurance codes and state license numbers:



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