institution
College Park Family Care Center, P.a.
Radiology Clinic/Center in Overland Park, Kansas
NPI 1881803229

College Park Family Care Center, P.a. is a Radiology Clinic/Center based in Overland Park, KS and is specialized in Radiology. College Park Family Care Center, P.a. practices in Overland Park, KS. The NPI Number for College Park Family Care Center, P.a. is 1881803229 and holds a License No. (Kansas).

The current practice location address for College Park Family Care Center, P.a. is 11755 W 112Th St, Overland Park, KS and can be reached out via phone at 913-469-0503 and via fax at 913-338-1311.

Location: 11755 W 112Th St, Overland Park, KS, 66210-2761
institution
Provider Profile Details
NPI Number
1881803229
Provider Name
College Park Family Care Center, P.a.
Credential
Provider Entity Type
Organization
Address
11755 W 112Th St, Overland Park, KS, 66210-2761
Phone Number
913-469-0503
Fax Number
913-338-1311
Provider Enumeration Date
05/22/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
0484665 01 KS AETNA
5696741 01 KS AETNA
institution
Provider Business Practice Location Address Details
Address
11755 W 112Th St
City
State
Zip
66210-2761
Phone Number
913-469-0503
Fax Number
913-338-1311
person
Provider Business Mailing Address Details
Address
11755 W 112Th St
City
State
Zip
66210-2761
Phone Number
913-469-0503
Fax Number
913-338-1311
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
License No.
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Definition
Definition to come...
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