Shawnee Mission Pediatrics, P.a.

NPI #1801988688 in Overland Park, Kansas

Provider Information

NPI Number: 1801988688
Entity Type: Organization
Organization Name: Shawnee Mission Pediatrics, P.a.
Primary Specialty: Pediatrics
Enumeration Date: Sep 29, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 8901 W 74TH ST
Address 2: SUITE 10
City: Overland Park
State: Kansas
ZIP Code: 66204-2204
Phone: (913) 362-1660

Authorized Official

Name: DR. ROBERT VINCENT JACKSON, M.D.
Title: PRESIDENT
Phone: (913) 362-1660

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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