Organization
PEDIATRIX MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ANDERSON MD (SUPERVISOR)
(816) 932-5626
Entity
Organization
Contact information
Practice address
2620 W 143RD ST, LEAWOOD, KS 66224-9679
(913) 897-0849
(913) 897-0934
Mailing address
2620 W 143RD ST, LEAWOOD, KS 66224-9679
(913) 897-0849
(913) 897-0934
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
44413
KS
Other
Enumeration date
07/12/2006
Last updated
08/22/2020
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