Organization · NPI-2

Physician Management Services Of Kansas II, LLC

Family Medicine · Plainville, KS

NPI number1669004354

StatusActive

Last updated in NPPESFeb 10, 2020

Details

NPI: 1669004354
Entity type: Organization (NPI-2)
Legal business name: Physician Management Services Of Kansas II, LLC
Organization subpart: Yes
Enumeration date: Feb 10, 2020
Certification date: Feb 10, 2020
Last updated: Feb 10, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	–	–	Yes

Practice location

1210 N Washington St
Plainville, KS 67663-1632

Phone 888-829-8550

Mailing address

3113 Lawton Rd Ste 250
Orlando, FL 32803-3517

Authorized official

Brett Kenefick
President
8888298550

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