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Organization
CORPORATE LAKES UROLOGY, LLC
Active
Organization
CORPORATE LAKES UROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BILLY BURL PERRY M.D. (OWNER)
(913) 948-8365
Entity
Organization
Contact information
Practice address
6740 W 121ST ST, SUITE 350, OVERLAND PARK, KS 66209-2002
(913) 948-8365
(913) 541-1034
Mailing address
6740 W 121ST ST, SUITE 350, OVERLAND PARK, KS 66209-2002
(913) 948-8365
(913) 541-1034
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0431342
KS
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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