Organization
SPRING HILL FAMILY MEDICINE EXPRESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERAD E WIDMAN M.D. (OWNER)
(913) 592-3000
Entity
Organization
Contact information
Practice address
22386 S HARRISON ST, SPRING HILL, KS 66083-3148
(913) 592-3000
Mailing address
22450 S HARRISON ST, SUITE 100, SPRING HILL, KS 66083-3151
(913) 592-2720
(913) 592-2725
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
KS0430763
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2003002200
—
KS
Enumeration date
11/04/2013
Last updated
11/04/2013
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