Unknown Individual – Surgery Physician, NPI 1962490466
Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
11755, West 112th Street, Overland Park, Johnson County, Kansas, 66210, United States
SUITE 203
OVERLAND PARK, KS 662102761
Phone: (913) 469-0503
Fax: (913) 338-1311
Type: Mailing
North Elson Street, Kirksville, Adair County, Missouri, 63501, United States
KIRKSVILLE, MO 635012819
Phone: (660) 627-5000
Fax: (660) 627-5720
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 66210)
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