# OCCUPATIONAL & PREVENTIVE MEDICINE SERVICES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194967778
- **Authorized official:** CONG ZHAO MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (913) 787-1423

## Contact information

- **Practice address:** 920 6TH AVE, MEDICAL ARTS BUILDING, LEAVENWORTH, KS 66048-3225
- **Practice address phone:** (913) 682-7225
- **Practice address fax:** (913) 651-2007
- **Mailing address:** 16815 W 84TH ST, LENEXA, KS 66219-8057
- **Mailing address phone:** (913) 787-1423
- **Mailing address fax:** (913) 322-1427

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | 0431475 | KS | — |
| 261QX0100X | Occupational Medicine Clinic/Center | 0431475 | KS | Yes |

## Other

- **Enumeration date:** 03/29/2009
- **Last updated:** 03/29/2009