Organization
LIVING WELL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE CONGER (CREDENTIALING MANAGER)
(615) 357-0586
Entity
Organization
Contact information
Practice address
9150 GLENWOOD ST, OVERLAND PARK, KS 66212-1364
(913) 341-9797
Mailing address
9150 GLENWOOD ST, OVERLAND PARK, KS 66212-1364
(913) 341-9797
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/15/2013
Last updated
03/15/2013
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