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Individual

MITCHELL TYLER TENER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5701 W 119TH ST STE 308, OVERLAND PARK, KS 66209-3721
(913) 253-3070
Mailing address
5701 W 119TH ST STE 308, OVERLAND PARK, KS 66209-3721
(913) 253-3070
(785) 505-5261

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0437401
KS
207RP1001X
Pulmonary Disease Physician
Primary
0437401
KS

Other

Enumeration date
07/05/2011
Last updated
05/09/2024
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