Organization
OCCUPATIONAL & PREVENTIVE MEDICINE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONG ZHAO MD (MEDICAL DIRECTOR)
(913) 787-1423
Entity
Organization
Contact information
Practice address
920 6TH AVE, MEDICAL ARTS BUILDING, LEAVENWORTH, KS 66048-3225
(913) 682-7225
(913) 651-2007
Mailing address
16815 W 84TH ST, LENEXA, KS 66219-8057
(913) 787-1423
(913) 322-1427
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
0431475
KS
261QX0100X
Occupational Medicine Clinic/Center
Primary
0431475
KS
Other
Enumeration date
03/29/2009
Last updated
03/29/2009
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