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Contact Information

VEIN CLINIC OF GREATER KANSAS CITY, P.A.
4400 W 109TH ST STE 150
OVERLAND PARK, KS66211-1319
 Phone: 913-541-3377
 Fax: 913-541-8082
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Sonography Radiologic Technologist

2471S1302X
 

Surgery

208600000X 02 Physician/General Surgery
 

Vascular Sonography Radiologic Technologist

2471V0105X
Indicates primary specialty

NPI Profile & details for VEIN CLINIC OF GREATER KANSAS CITY, P.A.

NPI Number 1275611444
LBN Legal business name VEIN CLINIC OF GREATER KANSAS CITY, P.A.
Authorized official DAPHENE ROORDA - (OFFICE MNAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/02/2006
Last updated 12/10/2020 - About 5 years ago
Identifiers
License # 72262
KS License # 0418701
KS License # 0418958
Other 844398 AENTA HMO
Other 434308 AETNA PPO
Other 766289 HUMANA
KS Other 09509075 BCBS
KS Other 65228 BLUE CROSS BLUE SHIELD
KS Other KS0418701 STATE LICENSE
KS Other 45750 STATE LICENSE ARNP
MO Other 09280021 BLUE CROSS BLUE SHIELD
MO Other 08561018 BLUE CROSS BLUE SHIELD GR
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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