# QUICKMD MEDICAL GROUP OF KS PA

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

## Provider details

- **NPI number:** 1982331211
- **Authorized official:** KATRINA MERRITT (SENIOR MANAGER, CREDENTIALING)
- **Authorized official phone:** (813) 596-5726

## Contact information

- **Practice address:** 9393 W 110TH ST STE 500, OVERLAND PARK, KS 66210-1464
- **Practice address phone:** (888) 878-4256
- **Mailing address:** 3865 HOLCOMB BRIDGE RD, PEACHTREE CORNERS, GA 30092-2205
- **Mailing address phone:** (888) 878-4256

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/05/2022
- **Last updated:** 01/15/2024