Organization
MEDICAL ARTS FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE ODONNELL (MANAGER)
(913) 682-2600
Entity
Organization
Contact information
Practice address
3601 S 4TH ST, LEAVENWORTH, KS 66048-5015
(913) 682-2600
Mailing address
3601 S 4TH ST, LEAVENWORTH, KS 66048-5015
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0427500
KS
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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