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DICKSON DIVELEY MIDWEST ORTHOPAEDIC CLINIC LLC NPI 1164093589


NPI Information

NPI: 1164093589
Provider Name: DICKSON DIVELEY MIDWEST ORTHOPAEDIC CLINIC LLC

Other Name: KANSAS CITY ORTHOPEDIC ALLIANCE

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
10777 NALL AVE STE 300
OVERLAND PARK, KS
ZIP 66211
Phone: (913) 642-0200
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DICKSON DIVELEY MIDWEST ORTHOPAEDIC CLINIC LLC is a durable medical equipment medical supplies in Overland Park, KS. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. DICKSON DIVELEY MIDWEST ORTHOPAEDIC CLINIC LLC NPI is 1164093589. The provider is registered as an organization entity type.
The provider Other Name Is Kansas City Orthopedic Alliance.

The provider's business location address is:

10777 NALL AVE STE 300
OVERLAND PARK, KS
ZIP 66211-330
Phone: (913) 642-0200
Fax: (913) 563-6699

The provider's authorized official is Brian J Divelbiss .
The authorized official title is Authorized Official and has the following contact phone number (913) 319-7600.

The enumeration date for this NPI number is 7/7/2021 and was last updated on 4/3/2023.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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