Organization
MEP KANSAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HENDREN MD (DIRECTOR)
(913) 317-7000
Entity
Organization
Contact information
Practice address
12300 METCALF AVE, OVERLAND PARK, KS 66213-1324
(913) 317-7000
Mailing address
12300 METCALF AVE, OVERLAND PARK, KS 66213-1324
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KA1843
MEDICARE
KS
Enumeration date
07/13/2010
Last updated
07/09/2015
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