Archwell Health Professional Services of Kansas, P.a.

NPI #1083289086 in Ferguson, Missouri

Provider Information

NPI Number: 1083289086
Entity Type: Organization
Organization Name: Archwell Health Professional Services of Kansas, P.a.
Primary Specialty: Internal Medicine
Enumeration Date: May 21, 2021
Last Updated: Apr 5, 2023

Practice Location

Address: 199 N FLORISSANT RD
City: Ferguson
State: Missouri
ZIP Code: 63135-1976
Phone: (888) 987-1151

Authorized Official

Name: LISA LUCAS
Title: CHIEF ADMINISTRATIVE OFFICER
Phone: (615) 419-0947

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine - Geriatric Medicine — Geriatric Medicine	207QG0300X
Internal Medicine - Geriatric Medicine — Geriatric Medicine	207RG0300X
Internal Medicine	207R00000X	Primary

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