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Organization
LIVING WATER FAMILY CARE
Active
Organization
LIVING WATER FAMILY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES T PAQUETTE (CEO)
(913) 596-4000
Entity
Organization
Contact information
Practice address
8919 PARALLEL PKWY, SUITE 331, KANSAS CITY, KS 66112-1636
(913) 788-2125
(913) 788-2391
Mailing address
PO BOX 12095, KANSAS CITY, KS 66112-0095
(913) 788-2125
(913) 788-2391
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34193012
BCBS KANSAS CITY
—
Enumeration date
09/30/2006
Last updated
08/22/2020
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