Kc Cone Beam, L.l.c. | |
11900 W 87th Street Pkwy Suite 128 Lenexa KS 66215-2807 | |
(913) 599-2228 | |
(913) 599-2229 |
Full Name | Kc Cone Beam, L.l.c. |
---|---|
Speciality | Dentist - Oral And Maxillofacial Radiology |
Location | 11900 W 87th Street Pkwy, Lenexa, Kansas |
Authorized Official Name and Position | Kevin P. Cunningham (OWNER) |
Authorized Official Contact | 9135992228 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kc Cone Beam, L.l.c. 11900 W 87th Street Pkwy Suite 128 Lenexa KS 66215-2807 Ph: (913) 599-2228 | Kc Cone Beam, L.l.c. 11900 W 87th Street Pkwy Suite 128 Lenexa KS 66215-2807 Ph: (913) 599-2228 |
NPI Number | 1073928495 |
---|---|
Provider Enumeration Date | 06/24/2014 |
Last Update Date | 06/24/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073928495 | NPI | - | NPPES |
BL13-00155 | Other | KS | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0008X | Dentist - Oral And Maxillofacial Radiology | BL13-00155 (Kansas) | Primary |
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