Organization
BLUE VALLEY WOMEN'S CARE
Active
Organization
BLUE VALLEY WOMEN'S CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANETTA C. PROVERBS M.D. (PRESIDENT)
(913) 642-7000
Entity
Organization
Contact information
Practice address
9375 WEST 75TH STREET, OVERLAND PARK, KS 66204
(913) 642-7000
Mailing address
9375 WEST 75TH STREET, OVERLAND PARK, KS 66204
(913) 642-7000
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
04-26209
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36327018
BLUE CROSS BLUE SHIELD
MO
Enumeration date
03/12/2007
Last updated
07/29/2008
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