Individual
MR. JAMES L GROWNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
801 ATCHISON ST, ATCHISON, KS 66002-2352
(913) 367-5020
(913) 367-1089
Mailing address
801 ATCHISON ST, ATCHISON, KS 66002-2352
(913) 367-5020
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05634011
BLUE CROSS BLUE SHIELD OF KANSAS CITY GROUP NUMBER
MO
05
—
100087100A
—
KS
01
—
1078175
NCCPA
—
01
—
111327
BLUE CROSS BLUE SHIELD OF KANSAS GROUP NUMBER
KS
01
—
1437350741
GROUP NPI NUMBER
KS
01
—
15-01170
LICENSE #
KS
01
—
460484
CHILDRENS MERCY FAMILY HEALTH PARTNERS
KS
Enumeration date
05/01/2007
Last updated
05/10/2011
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