# MEDEXPRESS PRIMARY CARE KANSAS, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Well - Overland Park, W 115th St
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316463359
- **Authorized official:** BRETT GALL (DIRECTOR PAYOR CONTRACTING)
- **Authorized official phone:** (304) 225-2500

## Contact information

- **Practice address:** 6860 W 115TH ST, OVERLAND PARK, KS 66211-2457
- **Practice address phone:** (913) 661-7181
- **Practice address fax:** (913) 217-9106
- **Mailing address:** 1001 CONSOL ENERGY DR, CANONSBURG, PA 15317-6506
- **Mailing address phone:** (304) 225-2500
- **Mailing address fax:** (724) 743-1133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/22/2017
- **Last updated:** 02/19/2018