Organization
SUMMIT MEDICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK J KUENY (VP)
(816) 525-6770
Entity
Organization
Contact information
Practice address
450 NE M-291 HWY, LEES SUMMIT, MO 64086
(816) 525-6770
Mailing address
450 NE M-291 HWY, LEES SUMMIT, MO 64086
(816) 525-6770
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17461021
BCBS OF KS
KS
Enumeration date
06/13/2006
Last updated
08/16/2007
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