Organization
QUINN PLASTIC SURGERY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M QUINN M.D., F.A.C.S. (OWNER)
(913) 492-3443
Entity
Organization
Contact information
Practice address
6920 W 121ST ST, SUITE102, OVERLAND PARK, KS 66209-2006
(913) 492-3443
(913) 492-1881
Mailing address
6920 W 121ST ST, SUITE102, OVERLAND PARK, KS 66209-2006
(913) 492-3443
(913) 492-1881
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
421809
KS
174400000X
Specialist
R5C63
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12900023
BLUE CROSS BLUE SHIELD
—
01
—
17471
COVENTRY OF KS
—
01
—
1795
COVENTRY HEALTH PLAN
—
01
—
275459
COVENTRY MAIL HANDLERS
—
01
—
971038
COVENTRY HEALTH AND LIFE
—
Enumeration date
01/19/2010
Last updated
03/05/2010
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