Healthcare Provider Details

I. General information

NPI: 1629150883
Provider Name (Legal Business Name): ASSOCIATES IN FAMILY HEALTH CARE PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 05/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

712 1ST TER
LANSING KS
66043-1704
US

IV. Provider business mailing address

712 1ST TER
LANSING KS
66043-1704
US

V. Phone/Fax

Practice location:
  • Phone: 913-727-6000
  • Fax: 913-351-1346
Mailing address:
  • Phone: 913-727-6000
  • Fax: 913-351-1346

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JAIME SUE BURCH
Title or Position: CLINIC DIRECTOR
Credential:
Phone: 913-727-6000