Centennial Emergency Physicians LLC

Organization Active NPI Emergency Medicine Physician · Sedalia, MO

NPI 1962900944 · NPPES record last updated Aug 19, 2019

Key facts

NPI
1962900944
Entity type
Organization (NPI type 2)
Primary specialty
Emergency Medicine Physician 207P00000X
Legal business name
CENTENNIAL EMERGENCY PHYSICIANS LLC
Practice address
601 E 14TH St
Sedalia, MO 65301-5972
Phone
(469) 401-2386
NPI assigned
Jan 25, 2018
Organization subpart
No

Authorized official

Name
Kathleen Kondas
Title
Officer
Phone
(954) 838-2371

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207P00000X Yes

Addresses

Primary practice location

601 E 14TH St
Sedalia, MO 65301-5972

Mailing address

13737 Noel Rd
Dallas, TX 75240-1331
Phone (954) 838-2371

Other providers in Sedalia, MO

All providers in Sedalia, MO · Emergency Medicine Physician in Missouri

Sources for this page

Verify at the official NPI Registry.