Organization
MENORAH MEDICAL GROUP, LLC
Active
Other names
Kansas City Spine & Sports Medicine Center
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY BERGMEIER (CLINIC ADMINISTRATOR)
(913) 491-3724
Entity
Organization
Contact information
Practice address
5701 W 119TH ST, SUITE 308, OVERLAND PARK, KS 66209-3721
(913) 491-3724
(913) 491-1281
Mailing address
PO BOX 741205, ATLANTA, GA 30374-1205
(913) 491-3724
(913) 491-1281
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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