Organization
CPFCC MUR-LEN
Active
Parent organization
COLLEGE PARK FAMILY CARE CENTER, P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLLEGE PARK FAMILY CARE CENTER, P.A.
Authorized official
CHUCK CHAMBERS (ADMINISTRATOR)
(913) 469-0503
Entity
Organization
Contact information
Practice address
801 N MUR LEN RD, STE 211, OLATHE, KS 66062-1794
(913) 451-2253
(913) 338-1311
Mailing address
11755 W 112TH ST, STE 202, OVERLAND PARK, KS 66210-2742
(913) 469-0503
(913) 338-1311
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/31/2010
Last updated
03/31/2010
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