Blue Valley Endocrinology, P.A.
Internal Medicine, Endocrinology, Diabetes & Metabolism in Overland Park, KS. Organization (NPI-2).
NPI number1699342147
StatusActive
Last updated in NPPESJun 10, 2021
Details
- NPI
- 1699342147
- Entity type
- Organization (NPI-2)
- Legal business name
- Blue Valley Endocrinology, P.A.
- Organization subpart
- No
- Enumeration date
- Jun 4, 2021
- Certification date
- Jun 10, 2021
- Last updated
- Jun 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RE0101X | Internal Medicine, Endocrinology, Diabetes & Metabolism | – | – | Yes |
Practice location
10000 College BlvdOverland Park, KS 66210-1435
Phone 913-258-5055 · Fax 913-258-5057
Mailing address
10000 College BlvdOverland Park, KS 66210-1435
Authorized official
Mini Abraham
Owner
9132585055
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