Organization
MD DIVERSIFIED SERVICES LLC
Active
Other names
THEO J FELTS, MD
Organization subpart
No
Provider details
NPI number
Authorized official
THEO J FELTS MD (SOLE MEMBER LLC)
(913) 322-8859
Entity
Organization
Contact information
Practice address
23401 PRAIRIE STAR PKWY, SUITE 120, LENEXA, KS 66227-7268
(913) 676-8600
(913) 676-8601
Mailing address
7111 W 151ST ST, 41, OVERLAND PARK, KS 66223-2231
(913) 322-8859
(888) 778-9471
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-26778
KS
Other
Enumeration date
06/09/2006
Last updated
08/04/2010
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