# MID-AMERICA UROLOGY, PA

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

## Provider details

- **NPI number:** 1376691444
- **Authorized official:** DR. BRADLEY D CONNETT MD (OWNER)
- **Authorized official phone:** (913) 780-3388

## Contact information

- **Practice address:** 705 BAPTISTE DR, PAOLA, KS 66071-1336
- **Practice address phone:** (913) 780-3388
- **Practice address fax:** (913) 780-3256
- **Mailing address:** 20375 W 151ST ST, STE 270, OLATHE, KS 66061-5306
- **Mailing address phone:** (913) 780-3388
- **Mailing address fax:** (913) 780-3256

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/08/2007
- **Last updated:** 11/14/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100153430B | — | KS |
| 01 | — | CS3061 | RAILROAD MEDICARE | — |