# INTENSIVE DIABETES MANAGEMENT

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

## Provider details

- **NPI number:** 1548353899
- **Authorized official:** MR. JAMES T PAQUETTE (CEO)
- **Authorized official phone:** (913) 596-4000

## Contact information

- **Practice address:** 8919 PARALLEL PKWY, SUITE 360, KANSAS CITY, KS 66112-1636
- **Practice address phone:** (913) 596-3940
- **Practice address fax:** (913) 596-3950
- **Mailing address:** PO BOX 12352, KANSAS CITY, KS 66112-0352
- **Mailing address phone:** (913) 596-3940
- **Mailing address fax:** (913) 596-3950

## Taxonomy

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

## Other

- **Enumeration date:** 10/01/2006
- **Last updated:** 08/22/2020