Organization
SHAWNEE MISSION MEDICAL CENTER INC
Active
Parent organization
SHAWNEE MISSION MEDICAL CENTER INC
Other names
SPIRA CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHAWNEE MISSION MEDICAL CENTER INC
Authorized official
KARSTEN RANDOLPH (EVP & CFO)
(913) 676-2152
Entity
Organization
Contact information
Practice address
15710 W 135TH ST STE 200, OLATHE, KS 66062-1508
(913) 297-7472
Mailing address
7315 E FRONTAGE RD STE 101, MERRIAM, KS 66204-1658
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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