Dickson Diveley Midwest Orthopaedic Clinic LLC
Durable Medical Equipment & Medical Supplies in Overland Park, KS. Organization (NPI-2).
NPI number1164093589
StatusActive
Last updated in NPPESJun 5, 2024
Details
- NPI
- 1164093589
- Entity type
- Organization (NPI-2)
- Legal business name
- Dickson Diveley Midwest Orthopaedic Clinic LLC
- Organization subpart
- No
- Enumeration date
- Jul 7, 2021
- Certification date
- Jun 5, 2024
- Last updated
- Jun 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Other names
- Kansas City Orthopedic Alliance (Other Name)
Practice location
10777 Nall Ave Ste 300Overland Park, KS 66211-1330
Phone 913-642-0200 · Fax 913-563-6699
Mailing address
3651 College BlvdLeawood, KS 66211-1910
Phone 913-319-7600 · Fax 913-253-1702
Authorized official
Jacob S Stueve
Authorized Official
9138517780
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