Organization
LAKEMARY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN KELSEY (DIRECTOR OF FISCAL SERVICES)
(913) 557-4000
Entity
Organization
Contact information
Practice address
100 LAKEMARY DR, PAOLA, KS 66071-1855
(913) 557-4000
(913) 557-4910
Mailing address
100 LAKEMARY DR, PAOLA, KS 66071-1855
(913) 557-4000
(913) 557-4910
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100102750E
—
KS
Enumeration date
02/24/2006
Last updated
02/12/2013
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