Organization
LEE'S SUMMIT FAMILY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN CALKINS (GROUP VICE PRESIDENT)
(615) 372-6536
Entity
Organization
Contact information
Practice address
600 NW MURRAY RD, SUITE 210, LEES SUMMIT, MO 64081-1204
(816) 524-2626
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
(615) 373-7406
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09659028
BCBS OF KANSAS
KS
05
—
100453580A
—
KS
05
—
506096205
—
MO
Enumeration date
05/26/2006
Last updated
11/21/2025
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