institution
Providence Care An Operating Division Of Providence Medical Ctr
General Practice Physician in Bonner Springs, Kansas
NPI 1700921970

Providence Care An Operating Division Of Providence Medical Ctr is a General Practice Physician based in Palatine, KS. Providence Care An Operating Division Of Providence Medical Ctr practices in Bonner Springs, KS. The NPI Number for Providence Care An Operating Division Of Providence Medical Ctr is 1700921970 and holds a License No. (Kansas).

The current practice location address for Providence Care An Operating Division Of Providence Medical Ctr is 913 Sheidley Ave, Bonner Springs, KS and can be reached out via phone at 913-322-7222 and via fax at 913-322-7284.

Location: 913 Sheidley Ave, Bonner Springs, KS, 60055-4363
institution
Provider Profile Details
NPI Number
1700921970
Provider Name
Providence Care An Operating Division Of Providence Medical Ctr
Credential
Provider Entity Type
Organization
Address
913 Sheidley Ave, Bonner Springs, KS, 60055-4363
Phone Number
913-322-7222
Fax Number
913-322-7284
Provider Enumeration Date
02/21/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
37765011 01 KS BCBS KANSAS CITY
DF7207 01 KS RAILROAD MEDICARE
200429440A 05 KS
X150000 01 KS MEDICARE KANSAS CITY
institution
Provider Business Practice Location Address Details
Address
913 Sheidley Ave
City
State
Zip
66012-9514
Phone Number
913-322-7222
Fax Number
913-322-7284
person
Provider Business Mailing Address Details
Address
913 Sheidley Ave
City
State
Zip
66012-9514
Phone Number
913-322-7222
Fax Number
913-322-7284
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
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