Organization
PARKWAY DIRECT PATIENT CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KIMANI (OWNER)
(913) 334-0200
Entity
Organization
Contact information
Practice address
13100 W 95TH ST STE 2B, LENEXA, KS 66215-3794
(913) 334-0200
Mailing address
13100 W 95TH ST STE 2B, LENEXA, KS 66215-3794
(913) 334-0200
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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