Individual
PATRICK R HERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15435 WEST 134TH PL, STE 103, OLATHE, KS 66062
(913) 782-7515
(913) 782-2942
Mailing address
15435 WEST 134TH PL, STE 103, OLATHE, KS 66062
(913) 782-7515
(913) 782-2942
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0425701
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100177310A
—
KS
Enumeration date
05/17/2006
Last updated
10/12/2021
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