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Organization
TOWN PLAZA FAMILY PRACTICE
Active
Organization
TOWN PLAZA FAMILY PRACTICE
Active
Other names
Northridge Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
KEN WASHINGTON (VP)
(816) 508-4090
Entity
Organization
Contact information
Practice address
15270 W 199TH, OLATHE, KS 66062
(913) 254-0828
(913) 254-0918
Mailing address
15270 W 199TH, OLATHE, KS 66062
(913) 254-0828
(913) 254-0918
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/19/2006
Last updated
07/21/2022
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