Colon and Rectal Surgeons of Kc PA

NPI #1780797142 in Shawnee Mission, Kansas

Provider Information

NPI Number
1780797142
Entity Type
Organization
Organization Name
Colon and Rectal Surgeons of Kc PA
Primary Specialty
Colon & Rectal Surgery
Enumeration Date
Aug 17, 2006
Last Updated
Aug 5, 2014

Practice Location

Address
8901 W 74TH ST
Address 2
SUITE 149
State
Kansas
ZIP Code
66204-2204
Phone
(913) 677-4010

Authorized Official

Name
ELIZABETH VIVONA
Title
PRACTICE MANAGER
Phone
(913) 677-4010

Specialties & Taxonomy Codes

Specialty
Colon & Rectal Surgery

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