| Intentional Challenge, Llc | |
|
11100 Ash St Suite 100 Leawood KS 66211-1925 | |
| (913) 568-8276 | |
| (913) 696-1403 |
| Full Name | Intentional Challenge, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 11100 Ash St, Leawood, Kansas |
| Authorized Official Name and Position | Bryan E Vignery (OWNER) |
| Authorized Official Contact | 9135688276 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intentional Challenge, Llc 11100 Ash St Suite 100 Leawood KS 66211-1925 Ph: (913) 568-8276 | Intentional Challenge, Llc 11100 Ash St Suite 100 Leawood KS 66211-1925 Ph: (913) 568-8276 |
| NPI Number | 1780079103 |
|---|---|
| Provider Enumeration Date | 04/02/2015 |
| Last Update Date | 04/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780079103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 787 (Kansas) | Primary |
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