Organization
CENTRAL FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK PEDERSON (MANAGER)
(913) 321-3343
Entity
Organization
Contact information
Practice address
720 CENTRAL AVE, KANSAS CITY, KS 66101-3546
(913) 321-3343
(913) 321-3348
Mailing address
720 CENTRAL AVE, KANSAS CITY, KS 66101-3546
(913) 321-3343
(913) 321-3348
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
04-13172
KS
Other
Enumeration date
07/21/2006
Last updated
08/22/2020
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