Organization
PHYSICIAN ASSOCIATES OF CORPORATE WOODS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK J. KUENY (VP)
(816) 508-4090
Entity
Organization
Contact information
Practice address
8675 COLLEGE BLVD, SUITE 100, OVERLAND PARK, KS 66210-1835
(913) 327-0911
(913) 327-0912
Mailing address
8675 COLLEGE BLVD, SUITE 100, OVERLAND PARK, KS 66210-1835
(913) 327-0911
(913) 327-0912
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871740464
—
MO
05
—
200584180 A
—
KS
Enumeration date
08/26/2008
Last updated
04/09/2009
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