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Organization
KANSAS CITY UROLOGY CARE, P.A.
Active
Organization
KANSAS CITY UROLOGY CARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL H BURNETT MBA (COO)
(913) 341-7733
Entity
Organization
Contact information
Practice address
10701 NALL AVE, SUITE 100, OVERLAND PARK, KS 66211-1231
(913) 341-7985
(913) 341-7988
Mailing address
8551 BLUEJACKET ST, LENEXA, KS 66214-1656
(913) 341-7985
(913) 341-7988
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
NULL
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100361350B
—
KS
05
—
100361650A
—
KS
05
—
505100305
—
MO
05
—
505100800
—
MO
Enumeration date
04/25/2006
Last updated
12/09/2019
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