Organization
TOWN PLAZA FAMILY PRACTICE
Active
Other names
Northridge Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
KEN WASHINGTON (VP)
(816) 508-4090
Entity
Organization
Contact information
Practice address
15270 W 199TH, OLATHE, KS 66062
(913) 254-0828
(913) 254-0918
Mailing address
15270 W 199TH, OLATHE, KS 66062
(913) 254-0828
(913) 254-0918
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/19/2006
Last updated
07/21/2022
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