institution
Prime Healthcare Physician Services - Providence Inc
General Practice Physician in Leavenworth, Kansas
NPI 1972119741

Prime Healthcare Physician Services - Providence Inc is a General Practice Physician based in Kansas City, KS. Prime Healthcare Physician Services - Providence Inc practices in Leavenworth, KS. The NPI Number for Prime Healthcare Physician Services - Providence Inc is 1972119741 and holds a License No. (Kansas).

The current practice location address for Prime Healthcare Physician Services - Providence Inc is 3550 S 4Th St Ste 100, Leavenworth, KS and can be reached out via phone at 913-680-6200 and via fax at 913-680-6348.

Location: 3550 S 4Th St Ste 100, Leavenworth, KS, 64114
institution
Provider Profile Details
NPI Number
1972119741
Provider Name
Prime Healthcare Physician Services - Providence Inc
Credential
Provider Entity Type
Organization
Address
3550 S 4Th St Ste 100, Leavenworth, KS, 64114
Phone Number
913-680-6200
Fax Number
913-680-6348
Provider Enumeration Date
09/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3550 S 4Th St Ste 100
City
State
Zip
66048-5061
Phone Number
913-680-6200
Fax Number
913-680-6348
person
Provider Business Mailing Address Details
Address
3550 S 4Th St Ste 100
City
State
Zip
66048-5061
Phone Number
913-680-6200
Fax Number
913-680-6348
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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