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Individual

DR. ANGELIQUE' C PRITCHETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
12210 W 87TH STREET PKWY, SUITE 135, LENEXA, KS 66215-2812
(913) 438-6700
(913) 428-1500
Mailing address
PO BOX 741331, ATLANTA, GA 30374-1331
(913) 469-0503
(913) 469-5267

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0430862
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200270130A
KS
01
34559018
BCBS KANSAS CITY
Enumeration date
09/30/2006
Last updated
12/31/2012
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