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1568180925
MIDWEST IDKC LLC
BLUE SPRINGS, MO
NPI
1568180925
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Entity Type
Organization
Authorized Contact
ATUL GUPTA
President
913-274-1573
Organization Subpart ?
No
Primary Taxonomy
207RI0200X Internal Medicine, Infectious Disease
Enumeration Date
2022-08-19
Last Update Date
2024-12-03
Business Address
MIDWEST IDKC LLC
205 NW R D MIZE RD STE 105
BLUE SPRINGS, MO 64014-2519
Phone number: 913-274-1573
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Mailing Address
MIDWEST IDKC LLC
PO BOX 8031
PRAIRIE VILLAGE, KS 66208-0031
Phone number: 913-274-1573
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