Centerwell Senior Primary Care Ks PA
Internal Medicine in Overland Park, KS. Organization (NPI-2).
NPI number1982257911
StatusActive
Last updated in NPPESAug 19, 2024
Details
- NPI
- 1982257911
- Entity type
- Organization (NPI-2)
- Legal business name
- Centerwell Senior Primary Care Ks PA
- Organization subpart
- Yes
- Enumeration date
- Jul 18, 2019
- Certification date
- Aug 19, 2024
- Last updated
- Aug 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 207Q00000X | Family Medicine | – | – | |
| 208D00000X | General Practice | – | – |
Other names
- Partners In Primary Care- Overland Park (Doing Business As)
- Centerwell Senior Primary Care (Ks) PA (Doing Business As)
- Partners In Primary Care Tx PA (Former Legal Business Name)
- Partners In Primary Care Ks, PA (Former Legal Business Name)
Practice location
7500 Metcalf AveOverland Park, KS 66204-2926
Phone 913-318-7447 · Fax 833-966-1157
Mailing address
6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168
Phone 305-500-2000
Authorized official
Angie Martinez
Senior Credentialing Professional
4074477120
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