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Organization

KANSAS MEDICAL PROFESSIONALS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRETT R HAILEY MD (PRESIDENT)
(913) 676-2214
Entity
Organization

Contact information

Practice address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204-4004
(913) 676-2000
Mailing address
6300 RIDGLEA PL STE 201, FORT WORTH, TX 76116-5707
(817) 451-4208
(817) 563-3699

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
03/07/2023
Last updated
07/10/2023
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