Optum Clinic | |
6860 W 115th St Overland Park International Trade Overland Park KS 66211-2457 | |
(800) 645-9656 | |
Not Available |
Full Name | Optum Clinic |
---|---|
Speciality | Family Medicine |
Location | 6860 W 115th St, Overland Park, Kansas |
Authorized Official Name and Position | Ronald Shumacher (OWNER) |
Authorized Official Contact | 2406835331 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Optum Clinic Po Box 692 Minneapolis MN 55440-0692 Ph: (800) 645-9656 | Optum Clinic 6860 W 115th St Overland Park International Trade Overland Park KS 66211-2457 Ph: (800) 645-9656 |
NPI Number | 1053721779 |
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Provider Enumeration Date | 05/02/2014 |
Last Update Date | 05/02/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053721779 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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