KSP HEALTH - MO LLC

HARRISONVILLE, MO
NPI1124871074
Entity TypeOrganization
Authorized ContactMUTHUKUMAR VELLAICHAMY
Sole Member
316-516-2853
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2024-04-10
Last Update Date2024-04-10
Business Address
KSP HEALTH - MO LLC
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701-2444
Phone number: 316-516-2853
Mailing Address
KSP HEALTH - MO LLC
6446 E CENTRAL AVE STE 183
WICHITA, KS 67206-1923
Phone number: 316-516-2853
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