Organization
FAMILY PRACTICE ASSOCIATES CHTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICENTE CARLOS PALMERI M.D. (CEO)
(913) 299-2100
Entity
Organization
Contact information
Practice address
1150 N 75TH PL, SUITE 200, KANSAS CITY, KS 66112-3302
(913) 299-2100
(913) 299-4205
Mailing address
PO BOX 12066, KANSAS CITY, KS 66112-0066
(913) 299-4966
(913) 299-4205
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100289320A
—
KS
05
—
100289320B
—
KS
01
—
C470000
MEDICARE PTAN
KS
01
—
C470000A
MEDICARE PTAN
KS
Enumeration date
08/05/2006
Last updated
12/07/2012
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