Organization
MENORAH FAMILY PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEN WASHINGTON (VP)
(913) 451-1311
Entity
Organization
Contact information
Practice address
5701 W 119TH ST, SUITE 135, OVERLAND PARK, KS 66209-3722
(913) 451-1311
Mailing address
5701 W 119TH ST, SUITE 135, OVERLAND PARK, KS 66209-3722
(913) 451-1311
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11372027
BCBS OF KANSAS
KS
05
—
20-877559-01
—
KS
Enumeration date
06/19/2006
Last updated
08/22/2020
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