Organization
THEORY HEALTH KANSAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIVAM PARBHU DDS (OWNER)
(314) 550-3005
Entity
Organization
Contact information
Practice address
10000 MARSHALL DR, LENEXA, KS 66215-1244
(314) 505-3005
Mailing address
10000 MARSHALL DR, LENEXA, KS 66215-1244
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
Other
Enumeration date
01/21/2020
Last updated
01/21/2020
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