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TOWN PLAZA FAMILY PRACTICE LLC NPI 1972543494


NPI Information

NPI: 1972543494
Provider Name: TOWN PLAZA FAMILY PRACTICE LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 17D2272660

Address:
5701 W 119TH ST
SUITE 410
OVERLAND PARK, KS
ZIP 66209
Phone: (913) 345-3650
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TOWN PLAZA FAMILY PRACTICE LLC is a family medicine in Overland Park, KS. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. TOWN PLAZA FAMILY PRACTICE LLC NPI is 1972543494. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5701 W 119TH ST
SUITE 410
OVERLAND PARK, KS
ZIP 66209-722
Phone: (913) 345-3650

The provider's authorized official is Patrick J Kueny .
The authorized official title is Vp and has the following contact phone number (913) 345-3650.

The CLIA number assigned to this NPI record is 17D2272660 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/7/2006 and was last updated on 10/23/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
123902020OTHERMISSOURIBCBS OF KC
2DA1341MEDICARE ID-TYPE UNSPECIFIEDKANSASRR MEDICARE
3100453440AMEDICAIDKANSAS
4506089606MEDICAIDMISSOURI
5P030000MEDICARE ID-TYPE UNSPECIFIEDKANSASMEDICARE B

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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