Organization
OVERLAND PARK KIDNEY, LLC
Active
Organization
OVERLAND PARK KIDNEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD CAPLING MD (OWNER)
(816) 352-8040
Entity
Organization
Contact information
Practice address
5721 W 119TH ST, OVERLAND PARK, KS 66209-3722
(913) 498-6000
Mailing address
14012 OUTLOOK ST, OVERLAND PARK, KS 66223-2956
(816) 352-8040
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-32943
STATE LICENSE
KS
Enumeration date
11/01/2018
Last updated
11/01/2018
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