Organization
MID AMERICA KIDNEY STONE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM K. WORTHLEY (GENERAL MANAGER)
(858) 703-7335
Entity
Organization
Contact information
Practice address
10983 GRANADA LN STE 110, OVERLAND PARK, KS 66211-1401
(913) 766-1860
(913) 232-9336
Mailing address
10983 GRANADA LN STE 110, OVERLAND PARK, KS 66211-1401
(913) 766-1860
(913) 232-9336
Taxonomy
Speciality
Code
Description
License number
State
261QL0400X
Lithotripsy Clinic/Center
Primary
—
—
Other
Enumeration date
03/28/2007
Last updated
04/12/2023
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