Provider Demographics
NPI:1922051580
Name:OPLOTNIK, RITA MARIE (DO)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:MARIE
Last Name:OPLOTNIK
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:801 N MUR LEN RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-5439
Mailing Address - Country:US
Mailing Address - Phone:913-764-0036
Mailing Address - Fax:913-780-2099
Practice Address - Street 1:801 N MUR LEN RD
Practice Address - Street 2:SUITE 201
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-5439
Practice Address - Country:US
Practice Address - Phone:913-764-0036
Practice Address - Fax:913-780-2099
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS0527297207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100320690AMedicaid
G72308Medicare UPIN
KS100320690AMedicaid