OrganizationActive
Occupational & Preventive Medicine Services
NPI 1194967778 · Occupational Medicine Clinic/Center · Leavenworth, KS
Provider details
- NPI number
- 1194967778
- Entity type
- Organization
- Primary specialty
- Occupational Medicine Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Cong Zhao, Medical Director(913) 787-1423
- License
- 0431475 (KS)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
920 6th Ave
Medical Arts Building
Leavenworth, KS 66048-3225
Phone: (913) 682-7225
Fax: (913) 651-2007
Approximate (ZIP-level) locationGet directions
Mailing address
16815 W 84th St
Lenexa, KS 66219-8057
Registry dates
- Enumerated
- 2009-03-29
- Last updated
- 2009-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.