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Organization

PLASTIC SURGICAL ARTS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DELPHA M HUTTON (PRACTICE MANAGER)
(913) 338-5600
Entity
Organization

Contact information

Practice address
7001 W 121ST ST, SUITE 101, OVERLAND PARK, KS 66209-2009
(913) 338-5600
(913) 338-3388
Mailing address
7001 W 121ST ST, SUITE 101, OVERLAND PARK, KS 66209-2009
(913) 338-5600
(913) 338-3388

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
0423967
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
207953001
MEDICAID
MO
01
848958
MEDICAID
KS
01
DE9412
RAILROAD MEDICARE
KS
01
DE9413
RAILROAD MEDICARE
MO
Enumeration date
09/22/2006
Last updated
06/13/2013
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