Central Care PA
NPI #1487253050 in Leavenworth, Kansas
Provider Information
- NPI Number
- 1487253050
- Entity Type
- Organization
- Organization Name
- Central Care PA
- Primary Specialty
- Internal Medicine - Medical Oncology
- Enumeration Date
- Oct 23, 2020
- Last Updated
- Oct 23, 2020
Practice Location
- Address
- 3550 S 4TH ST STE 282
- City
- Leavenworth
- State
- Kansas
- ZIP Code
- 66048-5160
- Phone
- (913) 318-7821
Authorized Official
- Name
- STACY CLOYD
- Title
- PROVIDER ENROLLMENT SPECIALIST
- Phone
- (785) 823-0633
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Oncology, Radiation — Oncology, Radiation |
| Internal Medicine - Medical Oncology — Medical Oncology |
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