Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Centerwell Senior Primary Care Ks PA

Organization Family Medicine Physician · NPI 1104347756

Centerwell Senior Primary Care Ks PA is a Family Medicine Physician in Kansas City, Kansas. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7527 State Ave
Kansas City, KS 66112-2815
Phone: (913) 335-6986
Fax: (855) 446-7151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1104347756
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCenterwell Senior Primary Care Ks PA
Authorized official Angie Martinez — Senior Credentialing Professional · (407) 447-7120
Other names Centerwell Senior Primary Care- State Avenue; Partners In Primary Care- State Avenue; Partners In Primary Care Tx Pa; Partners Inprimary Care (Ks), P.A.
NPI enumeratedJuly 5, 2017
Last updated in NPPESAugust 19, 2024
Certification dateAugust 19, 2024
Mailing address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168

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