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Organization

KC DIABETES & ENDOCRINOLOGY PA

Active
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Organization

KC DIABETES & ENDOCRINOLOGY PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MUSTAFA HUSSEIN (PRACTICE MANAGER)
(913) 954-8500
Entity
Organization

Contact information

Practice address
11661 COLLEGE BLVD STE 100, OVERLAND PARK, KS 66210-4107
(913) 954-8500
(913) 432-8402
Mailing address
11661 COLLEGE BLVD STE 100, OVERLAND PARK, KS 66210-4107
(913) 954-8500
(913) 432-8402

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—

Other

Enumeration date
08/15/2019
Last updated
08/15/2019
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