Organization
INTERNAL MEDICINE SPECIALISTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAM MEEKER (OFFICE MANAGER)
(913) 385-0176
Entity
Organization
Contact information
Practice address
10540 BARKLEY ST, SUITE 205, OVERLAND PARK, KS 66212-1811
(913) 385-0176
(913) 385-0782
Mailing address
10540 BARKLEY ST, SUITE 205, OVERLAND PARK, KS 66212-1811
(913) 385-0176
(913) 385-0782
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08508051
BLUE CROSS BLUE SHIELD KC
MO
05
—
100292510B
—
KS
01
—
135645
COVENTRY
—
01
—
4771317
AETNA
—
05
—
508639606
—
MO
01
—
74960
BLUE CROSS BLUE SHIELD KS
KS
Enumeration date
08/29/2006
Last updated
10/20/2009
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