Organization
FAMILY MEDICINE ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN A SEVERA (ADMINISTRATOR)
(785) 830-0100
Entity
Organization
Contact information
Practice address
4921 W 18TH ST, LAWRENCE, KS 66047-2090
(785) 830-0100
(785) 830-0115
Mailing address
4921 W 18TH ST, LAWRENCE, KS 66047-2090
(785) 830-0100
(785) 830-0115
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/16/2006
Last updated
08/05/2015
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