Providence Care an Operating Division of Providence Medical Ctr
Providence Care an Operating Division of Providence Medical Ctr is a General Practice Physician in Bonner Springs, Kansas. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
913 Sheidley AveBonner Springs, KS 66012-9514
Phone: (913) 322-7222
Fax: (913) 322-7284
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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 | 1700921970 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Providence Medical Center |
| Authorized official | Randall Nyp — President/Ceo · (913) 596-4000 |
| NPI enumerated | February 21, 2007 |
| Last updated in NPPES | April 20, 2012 |
| Mailing address | Dept Ch 14363, Palatine, IL 60055-4363 |