| Yelena Pinzur, D.O., P.C. | |
|
8800 State Line Rd Leawood KS 66206-1553 | |
| (913) 383-9099 | |
| (913) 383-3103 |
| Full Name | Yelena Pinzur, D.O., P.C. |
|---|---|
| Speciality | Internal Medicine |
| Location | 8800 State Line Rd, Leawood, Kansas |
| Authorized Official Name and Position | Yelena Pinzur (PRESIDENT) |
| Authorized Official Contact | 9133839099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yelena Pinzur, D.O., P.C. 8800 State Line Rd Leawood KS 66206-1553 Ph: (913) 383-9099 | Yelena Pinzur, D.O., P.C. 8800 State Line Rd Leawood KS 66206-1553 Ph: (913) 383-9099 |
| NPI Number | 1871923318 |
|---|---|
| Provider Enumeration Date | 11/20/2013 |
| Last Update Date | 11/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871923318 | NPI | - | NPPES |
| 245988209 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 207R00000X | Internal Medicine | 05-36705 (Kansas) | Secondary |
| 207R00000X | Internal Medicine | 2002012690 (Missouri) | Secondary |
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