NPI 1396344115

Radiance Family Care LLC

Organisation Primary Care Clinic/Center Louisburg, KS

Practice location

Address: 1262 W Amity St, Louisburg, KS 66053-7815
Phone: (913) 747-5374
Mailing address: 16143 Foster St, Overland Park, KS 66085-8417

Authorised official

Name: Kelli Elizabeth Docman
Title: Aprn
Phone: (913) 747-5374

Registered specialties

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X

Other Clinic/Center providers in Kansas →

Registry record

NPI: 1396344115
Entity type: Organization
NPI issued: 22 Oct 2020
Record last updated: 22 Oct 2020

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.