Individual
DR. JOHN ANTHONY THESING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10200 W 105TH ST, OVERLAND PARK, KS 66212-5750
(913) 495-9600
Mailing address
13020 FALMOUTH ST, LEAWOOD, KS 66209-1788
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0423031
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100116780A
—
KS
01
—
1581209B
MEDICARE
MO
01
—
1581209C
MEDICARE
KS
Enumeration date
01/23/2006
Last updated
09/24/2014
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