Desoto Family Practice, LLC

NPI #1407891732 in De Soto, Kansas

Provider Information

NPI Number: 1407891732
Entity Type: Organization
Organization Name: Desoto Family Practice, LLC
Primary Specialty: Family Medicine
Enumeration Date: Jun 19, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 33490 LEXINGTON AVE
City: De Soto
State: Kansas
ZIP Code: 66018-8269
Phone: (913) 583-1179

Authorized Official

Name: KEN WASHINGTON
Title: VP
Phone: (913) 583-1179

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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