NPI 1134460165

Living Well Medical Center

Organisation General Practice Physician Overland Park, KS

Practice location

Address: 9150 Glenwood St, Overland Park, KS 66212-1364
Phone: (913) 341-9797

Authorised official

Name: Stephanie Conger
Title: Credentialing Manager
Phone: (615) 357-0586

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Kansas →

Registry record

NPI: 1134460165
Entity type: Organization
NPI issued: 15 Mar 2013
Record last updated: 15 Mar 2013

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.