Organization
COVENTRY HEALTHCARE OF KANSAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS PATRICK MARTIN (DIRECTOR OF OPERATIONS)
(913) 202-5142
Entity
Organization
Contact information
Practice address
9401 INDIAN CREEK PKWY STE 1300, OVERLAND PARK, KS 66210-2021
(913) 202-5142
Mailing address
9401 INDIAN CREEK PKWY STE 1300, OVERLAND PARK, KS 66210-2021
(913) 202-5142
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
MO
05
—
201212390A
—
KS
Enumeration date
09/13/2018
Last updated
10/19/2018
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