Organization
JOHN S FRIED, MD
Active
Organization
JOHN S FRIED, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN S FRIED MD (DIRECTOR)
(913) 722-4240
Entity
Organization
Contact information
Practice address
8800 W 75TH ST, SUITE 300, OVERLAND PARK, KS 66204-2205
(913) 722-4240
(913) 722-0012
Mailing address
PO BOX 2705, SHAWNEE MISSION, KS 66201-2705
(913) 248-9693
(913) 248-9383
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
18381
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08236018
BLUE SHIELD KANSAS CITY
MO
Enumeration date
11/02/2006
Last updated
08/22/2020
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