Healthcare Provider Details

I. General information

NPI: 1770528044
Provider Name (Legal Business Name): COMPLETE FAMILY CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 06/21/2024
Certification Date: 06/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1004 PROGRESS DRIVE SUITE 200
LANSING KS
66043-6323
US

IV. Provider business mailing address

1004 PROGRESS DRIVE SUITE 200
LANSING KS
66043-6323
US

V. Phone/Fax

Practice location:
  • Phone: 913-651-3111
  • Fax: 913-651-3103
Mailing address:
  • Phone: 913-651-3111
  • Fax: 913-651-3103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number20274,20753,28974
License Number StateKS

VIII. Authorized Official

Name: KATHLEEN MCBRATNEY
Title or Position: PHYSICIAN/OWNER
Credential: MD
Phone: 913-651-3111