Organization
MID-AMERICA UROLOGY, PA
Active
Other names
Urology Center of Olathe
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY D CONNETT MD (OWNER)
(913) 780-3388
Entity
Organization
Contact information
Practice address
20375 W 151ST ST, STE 270, OLATHE, KS 66061-7218
(913) 780-3388
(913) 780-3256
Mailing address
20375 W 151ST ST, STE 270, OLATHE, KS 66061-5306
(913) 780-3388
(913) 780-3256
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100133370B
—
KS
01
—
CS3061
RAILROAD MEDICARE
—
Enumeration date
01/08/2007
Last updated
11/14/2014
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