Prime Healthcare Physician Services - Providence Inc
Prime Healthcare Physician Services - Providence Inc is a General Practice Physician in Leavenworth, Kansas. Registered with an NPI since 2020.
- In the registry since
- 2020
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3550 S 4th St Ste 100Leavenworth, KS 66048-5061
Phone: (913) 680-6200
Fax: (913) 680-6348
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X |
|---|
Record details
| NPI number | 1972119741 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Prime Healthcare Physician Services - Providence Inc |
| Authorized official | David Dulny — Providence Cfo · (913) 596-4835 |
| NPI enumerated | September 17, 2020 |
| Last updated in NPPES | August 25, 2025 |
| Certification date | August 25, 2025 |
| Mailing address | 1000 Carondelet Dr, Physician Billing Office, Kansas City, MO 64114 |
Other providers in Leavenworth
-
Adam Wetzel, MD
4104 S 4th St, Leavenworth, KS 66048-5082 · (785) 580-6100