Living Water Family Care | |
8919 Parallel Pkwy Suite 331 Kansas City KS 66112-1636 | |
(913) 788-2125 | |
(913) 788-2391 |
Full Name | Living Water Family Care |
---|---|
Speciality | Family Medicine |
Location | 8919 Parallel Pkwy, Kansas City, Kansas |
Authorized Official Name and Position | James T Paquette (CEO) |
Authorized Official Contact | 9135964000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Living Water Family Care Po Box 12095 Kansas City KS 66112-0095 Ph: (913) 788-2125 | Living Water Family Care 8919 Parallel Pkwy Suite 331 Kansas City KS 66112-1636 Ph: (913) 788-2125 |
NPI Number | 1154414555 |
---|---|
Provider Enumeration Date | 09/30/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154414555 | NPI | - | NPPES |
34193012 | Other | BCBS KANSAS CITY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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