BOULEVARD INTERNAL MEDICINE
Organization (NPI-2)
Active
Internal Medicine
Provider Information
- NPI Number
1417260522- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 5701 W 110TH ST, OVERLAND PARK, KS, 662112503
- Phone
- (913) 491-2400
Specialties & Taxonomies
Internal Medicine
Primary License: KS #04-18169