Provider Demographics
NPI:1952831422
Name:CARELON MEDICAL PARTNERS OF KANSAS, PA
Entity Type:Organization
Organization Name:CARELON MEDICAL PARTNERS OF KANSAS, PA
Other - Org Name:ASPIRE HEALTH MEDICAL PARTNERS OF KANSAS, PA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBION
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:657-309-1619
Mailing Address - Street 1:12900 PARK PLAZA DR STE 150
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-9329
Mailing Address - Country:US
Mailing Address - Phone:657-309-1619
Mailing Address - Fax:
Practice Address - Street 1:5251 W 116TH PL STE 200
Practice Address - Street 2:
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66211-2011
Practice Address - Country:US
Practice Address - Phone:844-337-3627
Practice Address - Fax:855-611-1917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-15
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Single Specialty