Organization
JAYHAWK PRIMARY CARE INC
Active
Parent organization
JAYHAWK PRIMARY CARE INC
Other names
State Avenue Health Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
JAYHAWK PRIMARY CARE INC
Authorized official
MICHAEL OLSON (COO)
(913) 945-9740
Entity
Organization
Contact information
Practice address
4810 STATE AVE, STATE AVENUE HEALTH CARE, KANSAS CITY, KS 66102-1748
(913) 945-9740
(913) 945-9741
Mailing address
4810 STATE AVE, STATE AVENUE HEALTH CARE, KANSAS CITY, KS 66102-1748
(913) 945-9740
(913) 945-9741
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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