Organization
TOWN PLAZA FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN CALKINS (GROUP VICE PRESIDENT)
(615) 372-6536
Entity
Organization
Contact information
Practice address
5701 W 119TH ST, SUITE 410, OVERLAND PARK, KS 66209-3722
(913) 345-3650
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
(615) 373-7406
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100453440A
—
KS
01
—
23902020
BCBS OF KC
MO
05
—
506089606
—
MO
Enumeration date
06/07/2006
Last updated
11/21/2025
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