Organization
COMPREHENSIVE HEALTH OF PLANNED PARENTHOOD GREAT PLAINS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA PARKS (DIRECTOR OF HEALTH SERVICES OPS)
(918) 587-4621
Entity
Organization
Contact information
Practice address
4401 W 109TH ST, SUITE 100, OVERLAND PARK, KS 66211-1303
(913) 345-1400
(913) 469-3655
Mailing address
4401 W 109TH ST, SUITE 200, OVERLAND PARK, KS 66211-1303
(913) 312-1400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05543013
BCBS OF KC GROUP ID#
MO
01
—
09841028
BCBS OF KC DR ID #
MO
05
—
100308570B
—
KS
05
—
200282660B
—
KS
05
—
209208404
—
MO
Enumeration date
02/15/2007
Last updated
08/29/2019
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