Organization
OVERLAND PEDIATRICS AND INFECTIOUS DISEASE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARMISA TONGSON CULLENS M.D. (CEO)
(816) 941-0440
Entity
Organization
Contact information
Practice address
930 CARONDELET DR, SUITE 303, KANSAS CITY, MO 64114-4855
(816) 941-0440
(816) 941-9966
Mailing address
930 CARONDELET DR, SUITE 303, KANSAS CITY, MO 64114-4855
(816) 941-0440
(816) 941-9966
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0422532
KS
208000000X
Pediatrics Physician
Primary
R1J85
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2050070802
—
KS
Enumeration date
01/30/2007
Last updated
08/22/2020
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