Organization
LEAWOOD FAMILY CARE PA
Active
Organization
LEAWOOD FAMILY CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN H HORTON M.D. (PRESIDENT)
(913) 338-4515
Entity
Organization
Contact information
Practice address
11301 ASH ST, LEAWOOD, KS 66211-1643
(913) 338-4515
(913) 338-4606
Mailing address
11301 ASH ST, LEAWOOD, KS 66211-1643
(913) 338-4515
(913) 338-4606
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17D0704165
CLIA ID NUMBER
KS
Enumeration date
05/12/2014
Last updated
05/12/2014
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