Organization
MIDWEST DIVISION SPINE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK J KUENY (VP)
(816) 276-9280
Entity
Organization
Contact information
Practice address
5701 W 119TH ST, SUITE 215, OVERLAND PARK, KS 66209-3721
(888) 942-2774
(866) 807-1897
Mailing address
5701 W 119TH ST, SUITE 215, OVERLAND PARK, KS 66209-3721
(888) 942-2774
(866) 807-1897
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477739803
—
MO
05
—
200613630A
—
KS
05
—
200613630B
—
KS
05
—
200613630C
—
KS
01
—
DN5189
RAILROAD MEDICARE
MO
Enumeration date
01/16/2008
Last updated
11/11/2009
Update your record
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