NPI 1104347756

Centerwell Senior Primary Care Ks PA

Organisation Internal Medicine Physician Kansas City, KS

Practice location

Address: 7527 State Ave, Kansas City, KS 66112-2815
Phone: (913) 335-6986
Fax: (855) 446-7151
Mailing address: 6101 Blue Lagoon Dr STE 200, Miami, FL 33126-3168

Authorised official

Name: Angie Martinez
Title: Senior Credentialing Professional
Phone: (407) 447-7120

Registered specialties (3)

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Other Internal Medicine providers in Kansas →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Kansas →

General Practice Physician

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Kansas →

Registry record

NPI: 1104347756
Entity type: Organization
NPI issued: 5 Jul 2017
Record last updated: 19 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.