Ccrc Of Overland Park, Llc

Specialty details in registry · Overland Park, KS

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At a glance

12500 W 137Th St, Overland Park, KS 66221-4129

NPPES record updated Feb 20, 2019. Public records can lag behind changes at a practice.

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Practice location

12500 W 137Th St
Overland Park, KS 66221-4129
Professional details: NPI, taxonomy & registry record
NPI1063946143
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
314000000X
Enumeration date
Apr 17, 2017
Record updated
Feb 20, 2019
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

314000000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

12500 W 137Th St
Overland Park, KS 66221-4129
Phone
(913) 730-3700
Mailing address
12500 W. 137TH STREET

OVERLAND PARK, KS 66221
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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