Individual
MR. ENRIQUE CHAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10550 QUIVIRA RD, SUITE 520, OVERLAND PARK, KS 66215-2309
(913) 588-6371
Mailing address
11820 ROSEHILL RD, OVERLAND PARK, KS 66210-1321
(913) 451-4875
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
04-23315
KS
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
04-23315
KS
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
04-23315
KS
Other
Enumeration date
03/16/2008
Last updated
03/15/2017
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