Organization · NPI-2

Advanced Healthcare & Sports Injury, PA

Family Medicine · Olathe, KS

NPI number1811345432
StatusActive
Last updated in NPPESMay 25, 2016

Details

NPI
1811345432
Entity type
Organization (NPI-2)
Legal business name
Advanced Healthcare & Sports Injury, PA
Organization subpart
No
Enumeration date
May 25, 2016
Last updated
May 25, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineKS0421704KSYes

Practice location

20160 W. 153rd Street
Olathe, KS 66062-9131

Phone 913-764-2271 · Fax 913-764-2276

Mailing address

20160 W. 153rd Street
Olathe, KS 66062-9131

Phone 913-764-2271 · Fax 913-764-2276

Authorized official

Kirk J Iodice
President
9137642271

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