Organization
ARCHWELL HEALTH PROFESSIONAL SERVICES OF KANSAS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA LUCAS (CHIEF ADMINISTRATIVE OFFICER)
(615) 419-0947
Entity
Organization
Contact information
Practice address
199 N FLORISSANT RD, FERGUSON, MO 63135-1976
(888) 987-1151
Mailing address
102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
05/21/2021
Last updated
04/05/2023
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