Clinical Associates PA

NPI #1477588085 in Lenexa, Kansas

Provider Information

NPI Number: 1477588085
Entity Type: Organization
Organization Name: Clinical Associates PA
Primary Specialty: Specialist
Enumeration Date: Jul 11, 2006
Last Updated: Mar 17, 2016

Practice Location

Address: 8629 BLUEJACKET ST
Address 2: STE 100
City: Lenexa
State: Kansas
ZIP Code: 66214-1604
Phone: (913) 677-3553

Authorized Official

Name: BRUCE MICHAEL CAPPO, PH D
Title: OWNER/OPERATOR
Phone: (913) 677-3553

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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