Kjk Wellness LLC
Nurse Practitioner, Family in Olathe, KS. Organization (NPI-2).
NPI number1013763382
StatusActive
Last updated in NPPESMay 25, 2026
Details
- NPI
- 1013763382
- Entity type
- Organization (NPI-2)
- Legal business name
- Kjk Wellness LLC
- Organization subpart
- No
- Enumeration date
- Apr 27, 2024
- Certification date
- May 25, 2026
- Last updated
- May 25, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
| 163WW0000X | Registered Nurse, Wound Care | – | – |
Other names
- Heartland Wound And Urgent Care (Doing Business As)
- Kjk Wellness LLC (Former Legal Business Name)
Practice location
801 N Mur Len Rd Ste 104bOlathe, KS 66062-1794
Phone 913-207-5089 · Fax 913-273-1094
Mailing address
801 N Mur Len Rd Ste 104bOlathe, KS 66062-1794
Phone 913-207-5089 · Fax 913-273-1094
Other practice locations
15845 Gardner West Rd
Gardner, KS 66030-9507
Gardner, KS 66030-9507
Phone 913-207-5089 · Fax 913-273-1094
Authorized official
Kristy M Provence
Owne/Nurse Practitioner
9132075089
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