Organization
PREFERRED PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEANNA DUGGAN (OFFICE MANAGER)
(913) 764-3016
Entity
Organization
Contact information
Practice address
13643 S MUR LEN RD, OLATHE, KS 66062
(913) 764-3016
(913) 764-8059
Mailing address
13643 S MUR LEN RD, OLATHE, KS 66062
(913) 764-7060
(713) 764-8059
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08702015
KCMO BLUE SJIELD
MO
05
—
100212560A
—
KS
Enumeration date
04/10/2006
Last updated
11/01/2024
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