Organization
CENTERWELL SENIOR PRIMARY CARE KS PA
Active
Organization
CENTERWELL SENIOR PRIMARY CARE KS PA
Active
Parent organization
CENTERWELL SENIOR PRIMARY CARE KS PA
Other names
Partners inPrimary Care (KS), P.A., Partners in Primary Care TX PA, Partners in Primary Care- State Avenue, CenterWell Senior Primary Care- State Avenue
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTERWELL SENIOR PRIMARY CARE KS PA
Authorized official
ANGIE MARTINEZ (SENIOR CREDENTIALING PROFESSIONAL)
(407) 447-7120
Entity
Organization
Contact information
Practice address
7527 STATE AVE, KANSAS CITY, KS 66112-2815
(913) 335-6986
(855) 446-7151
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(305) 500-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
07/05/2017
Last updated
08/19/2024
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