Organization
VITUITY - KANSAS MEDICAL SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEOPHILE KOURY M.D (PRESIDENT)
(510) 350-2638
Entity
Organization
Contact information
Practice address
9700 W 62ND ST, SHAWNEE, KS 66203-3220
(785) 989-4506
Mailing address
2100 POWELL ST STE 400, EMERYVILLE, CA 94608-1872
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
02/19/2024
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