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Organization
QUICKMD MEDICAL GROUP OF KS PA
Active
Organization
QUICKMD MEDICAL GROUP OF KS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATRINA MERRITT (SENIOR MANAGER, CREDENTIALING)
(813) 596-5726
Entity
Organization
Contact information
Practice address
9393 W 110TH ST STE 500, OVERLAND PARK, KS 66210-1464
(888) 878-4256
Mailing address
3865 HOLCOMB BRIDGE RD, PEACHTREE CORNERS, GA 30092-2205
(888) 878-4256
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
NULL
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
NULL
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/05/2022
Last updated
01/15/2024
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