Jayhawk Primary Care INC

NPI #1326383274 in Kansas City, Kansas

Provider Information

NPI Number
1326383274
Entity Type
Organization
Organization Name
Jayhawk Primary Care INC
Subpart
Yes (part of a larger organization)
Parent Organization
JAYHAWK PRIMARY CARE INC
Primary Specialty
Family Medicine
Enumeration Date
Dec 4, 2012
Last Updated
Dec 4, 2012

Practice Location

Address
4810 STATE AVE
Address 2
STATE AVENUE HEALTH CARE
State
Kansas
ZIP Code
66102-1748
Phone
(913) 945-9740

Authorized Official

Name
MICHAEL OLSON
Title
COO
Phone
(913) 945-9740

Specialties & Taxonomy Codes

Specialty
Family Medicine

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