Organization
SELENA FU, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SELENA FU MD (PRESIDENT)
(917) 623-5442
Entity
Organization
Contact information
Practice address
10500 QUIVIRA RD, OVERLAND PARK, KS 66215-2306
(917) 623-5442
Mailing address
3147 W 145TH TER, LEAWOOD, KS 66224-3755
(917) 623-5442
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
—
—
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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