Theory Health Kansas LLC
Dentist in Lenexa, KS. Organization (NPI-2).
NPI number1164052973
StatusActive
Last updated in NPPESJan 21, 2020
Details
- NPI
- 1164052973
- Entity type
- Organization (NPI-2)
- Legal business name
- Theory Health Kansas LLC
- Organization subpart
- No
- Enumeration date
- Jan 21, 2020
- Certification date
- Jan 21, 2020
- Last updated
- Jan 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
| 207Q00000X | Family Medicine | – | – |
Practice location
10000 Marshall DrLenexa, KS 66215-1244
Phone 314-505-3005
Mailing address
10000 Marshall DrLenexa, KS 66215-1244
Authorized official
Shivam Parbhu
Owner
3145503005
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