Integrative Health Providers Llc | |
11791 W 112th St Ste 100 Overland Park KS 66210-2755 | |
(913) 963-6618 | |
Not Available |
Full Name | Integrative Health Providers Llc |
---|---|
Speciality | Internal Medicine |
Location | 11791 W 112th St Ste 100, Overland Park, Kansas |
Authorized Official Name and Position | Everett Gereme Bennett (NURSE PRACTITIONER) |
Authorized Official Contact | 9139636618 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Integrative Health Providers Llc 17727 W 68th Ter Shawnee KS 66217-9567 Ph: (913) 963-6618 | Integrative Health Providers Llc 11791 W 112th St Ste 100 Overland Park KS 66210-2755 Ph: (913) 963-6618 |
NPI Number | 1801325659 |
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Provider Enumeration Date | 06/06/2017 |
Last Update Date | 06/06/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801325659 | NPI | - | NPPES |
53-77127-041 | Other | KS | KANSAS STATE BOARD OF NURSING- NURSE PRACTITIONER LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 04-23015 (Kansas) | Primary |
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