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Organization

PAM CARNEY PT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PAMELA ANNE CARNEY PT (PHYSICAL THERAPIST)
(913) 631-5749
Entity
Organization

Contact information

Practice address
18315 MIDLAND DR, SHAWNEE, KS 66218-9024
(913) 631-5749
(913) 962-0355
Mailing address
18315 MIDLAND DR, SHAWNEE, KS 66218-9024
(913) 631-5749

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1102764
KS
261QP2000X
Physical Therapy Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
35426011
BLUE CROSS BLUE SHIELD
KS
Enumeration date
06/30/2008
Last updated
01/28/2025
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