Organization
PROVIDENCE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CURT V LANDIS (DIRECTOR OF FINANCE)
(785) 295-8219
Entity
Organization
Contact information
Practice address
8929 PARALLEL PKWY, KANSAS CITY, KS 66112-1689
(785) 295-5307
(785) 231-5991
Mailing address
PO BOX 413923, KANSAS CITY, MO 64141-3923
(785) 295-5307
(785) 231-5991
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RH0000X
Hematology (Internal Medicine) Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/01/2010
Last updated
09/01/2010
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