institution
Shawnee Family Care Pa
Primary Care Clinic/Center in Shawnee, Kansas
NPI 1174667174

Shawnee Family Care Pa is a Primary Care Clinic/Center based in Shawnee, KS and is specialized in Primary Care. Shawnee Family Care Pa practices in Shawnee, KS. The NPI Number for Shawnee Family Care Pa is 1174667174 and holds a License No. 0423330 (Kansas).

The current practice location address for Shawnee Family Care Pa is 5949 Nieman Rd, Shawnee, KS and can be reached out via phone at 913-631-6114 and via fax at 913-631-5263.

Location: 5949 Nieman Rd, Shawnee, KS, 66203-2907
institution
Provider Profile Details
NPI Number
1174667174
Provider Name
Shawnee Family Care Pa
Credential
Provider Entity Type
Organization
Address
5949 Nieman Rd, Shawnee, KS, 66203-2907
Phone Number
913-631-6114
Fax Number
913-631-5263
Provider Enumeration Date
02/16/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CB6830 01 KS MEDICARE RR GROUP
H24932 01 KS UPIN MARY K DEVERS
27992017 01 KS BLUE SHIELD GROUP
E66004 01 KS JOHN L CRANE UPIN
institution
Provider Business Practice Location Address Details
Address
5949 Nieman Rd
City
State
Zip
66203-2907
Phone Number
913-631-6114
Fax Number
913-631-5263
person
Provider Business Mailing Address Details
Address
5949 Nieman Rd
City
State
Zip
66203-2907
Phone Number
913-631-6114
Fax Number
913-631-5263
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
0423330 (Kansas)
Definition
Definition to come...
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