Individual
DR. ANIESA SLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10950 W 86TH ST, LENEXA, KS 66214-1634
(913) 722-4240
(913) 721-0298
Mailing address
5675 ROE BLVD STE 100, ROELAND PARK, KS 66205-2538
(913) 432-3780
(913) 432-8463
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-52035
KS
207Q00000X
Family Medicine Physician
2017020535
MO
Other
Enumeration date
03/27/2014
Last updated
11/10/2025
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