MEDICARE: CAREPOINT EMERGENCY MEDICINE KANSAS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician

General Provider Information

NPI Number	:	1992375653
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREPOINT EMERGENCY MEDICINE KANSAS LLC

Provider Business Mailing Address
First Line	:	PO BOX 5607
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80217-5607
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2648 N ROCK RD
Second Line	:
City	:	DERBY
State	:	KS
Zip	:	67037-3797
Country	:	US
Telephone Number	:	316-962-9500
Fax Number	:

Authorized Official
Title or Position	:	VP/LEGAL COUNSEL
Name	:	DEBORAH SMITH
Credential	:
Telephone Number	:	303-436-2720

Provider Enumeration Date	:	06/25/2021
Last Update Date	:	06/25/2021

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