PREFERRED PEDIATRICS NPI 1033172150

NPI Information

PREFERRED PEDIATRICS is an adolescent medicine pediatrics in Olathe, KS. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. PREFERRED PEDIATRICS NPI is 1033172150. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

824 W FRONTIER LN
OLATHE, KS
ZIP 66061-216
Phone: (913) 764-7060
Fax: (913) 764-8059

The provider's authorized official is Leanna Duggan .
The authorized official title is Office Manager and has the following contact phone number (913) 764-7060.

The CLIA number assigned to this NPI record is 17D0448520 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/10/2006 and was last updated on 4/28/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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