Organization
LIFELINE STOP SMOKING CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY BERNHARDT MD (PROVIDER)
(913) 541-1131
Entity
Organization
Contact information
Practice address
10600 QUIVIRA RD, SUITE 230, OVERLAND PARK, KS 66215-2309
(913) 541-1131
(913) 541-8082
Mailing address
10600 QUIVIRA RD, SUITE 230, OVERLAND PARK, KS 66215-2309
(913) 541-1131
(913) 541-8082
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
18701
KS
Other
Enumeration date
11/02/2006
Last updated
08/22/2020
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