Organization
DICKSON DIVELEY MIDWEST ORTHOPAEDIC CLINIC LLC
Active
Other names
Kansas City Orthopedic Alliance
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB S STUEVE (AUTHORIZED OFFICIAL)
(913) 851-7780
Entity
Organization
Contact information
Practice address
23401 PRAIRIE STAR PKWY STE 220B, LENEXA, KS 66227-7268
(913) 319-7600
Mailing address
3651 COLLEGE BLVD, LEAWOOD, KS 66211-1910
(913) 319-7600
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/29/2024
Last updated
06/05/2024
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