Organization
JAY L. RICHARDSON MD CHARTERED
Active
Other names
Vein treatment center
Organization subpart
No
Provider details
NPI number
Authorized official
JAY RICHARDSON (PRESIDENT)
(913) 383-8346
Entity
Organization
Contact information
Practice address
9385 W 75TH ST, OVERLAND PARK, KS 66204-2231
(913) 383-8346
Mailing address
9385 W 75TH ST, OVERLAND PARK, KS 66204-2231
(913) 383-8346
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
04-13561
KS
Other
Enumeration date
11/14/2006
Last updated
06/18/2008
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