NPI 1174307144

Envision Healthcare Professional Services LLC

Organisation Point of Service Olathe, KS

Practice location

Address: 12974 S Widmer St, Olathe, KS 66062-8814
Phone: (913) 548-6129

Authorised official

Name: Abigael Obonyo Makori-Malinda
Title: Fnp-Bc
Phone: (913) 548-6129

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X

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Registry record

NPI: 1174307144
Entity type: Organization
NPI issued: 22 Aug 2023
Record last updated: 22 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.