Individual
KEVIN ONG GUEVARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
23450 COLLEGE BLVD, OLATHE, KS 66061-8702
(913) 764-7788
(913) 764-6088
Mailing address
23450 COLLEGE BLVD, OLATHE, KS 66061-8702
(913) 764-7788
(913) 764-6088
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-39454
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033D00245
WPS
KS
05
—
201148030A
—
KS
Enumeration date
09/26/2014
Last updated
04/15/2020
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