Organization
CAREATC QT OVERLAND PARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH GUCWA (DIR OF PURCH AND FACILITIES)
(918) 779-7416
Entity
Organization
Contact information
Practice address
6700 COLLEGE BLVD, SUITE 100, OVERLAND PARK, KS 66211-1525
(913) 553-4525
Mailing address
6700 COLLEGE BLVD, SUITE 100, OVERLAND PARK, KS 66211-1525
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/02/2016
Last updated
10/02/2016
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