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Organization

SUPPLEMENTAL HEALTH CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KELLY TREZVANT RT (RESPIRATORY THERAPIST)
(913) 461-5934
Entity
Organization

Contact information

Practice address
6700 ANTIOCH RD STE 120, MERRIAM, KS 66204-1200
(913) 652-9229
Mailing address
6700 ANTIOCH RD STE 120, MERRIAM, KS 66204-1200
(913) 652-9229

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary

Other

Enumeration date
11/06/2014
Last updated
11/06/2014
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