NPI 1275554099

Central Family Medicine

Organisation Pulmonary Disease Physician Kansas City, KS

Practice location

Address: 720 Central Ave, Kansas City, KS 66101-3546
Phone: (913) 321-3343
Fax: (913) 321-3348

Authorised official

Name: Mark Pederson
Title: Manager
Phone: (913) 321-3343

Registered specialties

Pulmonary Disease Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RP1001X Licence 04-13172 (KS)

Other Internal Medicine providers in Kansas →

Registry record

NPI: 1275554099
Entity type: Organization
NPI issued: 21 Jul 2006
Record last updated: 22 Aug 2020

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.