Johnson County Integrative Medicine LLC
Nurse Practitioner, Primary Care in Overland Park, KS. Organization (NPI-2).
NPI number1720979438
StatusActive
Last updated in NPPESJul 11, 2025
Details
- NPI
- 1720979438
- Entity type
- Organization (NPI-2)
- Legal business name
- Johnson County Integrative Medicine LLC
- Organization subpart
- No
- Enumeration date
- Jul 11, 2025
- Certification date
- Jun 12, 2025
- Last updated
- Jul 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | – | – | Yes |
Practice location
6355 W 110th StOverland Park, KS 66211-1509
Phone 913-340-8778
Mailing address
6355 W 110th StOverland Park, KS 66211-1509
Authorized official
Matthew Nitsch
Owner
4178271426
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