# ADVENTHEALTH PRIMARY CARE PLUS OF KANSAS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1962306449
- **Authorized official:** DESTIN HARCUS (CFO)
- **Authorized official phone:** (225) 328-1607

## Contact information

- **Practice address:** 4921 W 18TH ST, LAWRENCE, KS 66047-2090
- **Practice address phone:** (785) 830-0100
- **Practice address fax:** (785) 830-0100
- **Mailing address:** 2600 WESTHALL LN STE 300, MAITLAND, FL 32751-7107
- **Mailing address fax:** (407) 200-2300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |

## Other

- **Enumeration date:** 10/07/2026
- **Last updated:** 10/07/2026