MID AMERICA KIDNEY STONE ASSOCIATION NPI 1740309202

NPI Information

MID AMERICA KIDNEY STONE ASSOCIATION is a lithotripsy clinic center in Overland Park, KS. MID AMERICA KIDNEY STONE ASSOCIATION NPI is 1740309202. The provider is registered as an organization entity type.

The provider's business location address is:

10983 GRANADA LN STE 110
OVERLAND PARK, KS
ZIP 66211-401
Phone: (913) 766-1860
Fax: (913) 232-9336

The provider's authorized official is William K. Worthley .
The authorized official title is General Manager and has the following contact phone number (858) 703-7335.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 4/12/2023.

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:

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