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Individual

MARY T CHAMPION

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
7400 STATE LINE RD STE 100, PRAIRIE VILLAGE, KS 66208-3447
(913) 588-6600
(913) 588-6655
Mailing address
7400 STATE LINE RD STE 100, PRAIRIE VILLAGE, KS 66208-3447
(913) 588-6600
(913) 588-6655

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
1
KS
207W00000X
Ophthalmology Physician
50228
AZ
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
0439896
KS
207WX0107X
Retina Specialist (Ophthalmology) Physician
2020013466
MO
207WX0107X
Retina Specialist (Ophthalmology) Physician
50228
AZ

Other

Enumeration date
06/28/2011
Last updated
12/11/2025
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