| Statland Clinic Ltd | |
|
5701 West 119th St Suite 240 Overland Park KS 66209-3749 | |
| (913) 345-8500 | |
| (913) 345-3784 |
| Full Name | Statland Clinic Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 5701 West 119th St, Overland Park, Kansas |
| Authorized Official Name and Position | Stephanie Snyder (PRESIDENT) |
| Authorized Official Contact | 9133458500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Statland Clinic Ltd 5701 West 119th St Suite 240 Overland Park KS 66209-3749 Ph: (913) 345-8500 | Statland Clinic Ltd 5701 West 119th St Suite 240 Overland Park KS 66209-3749 Ph: (913) 345-8500 |
| NPI Number | 1487679098 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487679098 | NPI | - | NPPES |
| 1769018 | Other | MO | BLUE CROSS BLUE SHIELD |
| 1002170303A | Medicaid | KS | |
| CU0310 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
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