Organization
THE COVENANT GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK S HOLCOMB MD (MEDICAL DIRECTOR)
(913) 469-4244
Entity
Organization
Contact information
Practice address
8929 PARALLEL PKWY, KANSAS CITY, KS 66112-1689
(913) 596-4180
(913) 596-4797
Mailing address
10975 BENSON ST, STE 250, OVERLAND PARK, KS 66210-1534
(913) 469-4244
(913) 469-1939
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
03/08/2006
Last updated
03/03/2011
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