Centerwell Senior Primary Care Ks PA
NPI #1104347756 in Kansas City, Kansas
Provider Information
- NPI Number
- 1104347756
- Entity Type
- Organization
- Organization Name
- Centerwell Senior Primary Care Ks PA
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CENTERWELL SENIOR PRIMARY CARE KS PA
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jul 5, 2017
- Last Updated
- Aug 19, 2024
Practice Location
- Address
- 7527 STATE AVE
- City
- Kansas City
- State
- Kansas
- ZIP Code
- 66112-2815
- Phone
- (913) 335-6986
Authorized Official
- Name
- ANGIE MARTINEZ
- Title
- SENIOR CREDENTIALING PROFESSIONAL
- Phone
- (407) 447-7120
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
| Family Medicine |
| Internal Medicine |
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