# INTEGRATIVE HEALTH PROVIDERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vitality Lifestyle Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801325659
- **Authorized official:** EVERETT G. BENNETT III NP (OWNER)
- **Authorized official phone:** (913) 353-4703

## Contact information

- **Practice address:** 11001 HAUSER ST, LENEXA, KS 66210-3708
- **Practice address phone:** (913) 963-6618
- **Practice address fax:** (913) 353-4031
- **Mailing address:** 11001 HAUSER ST, LENEXA, KS 66210-3708
- **Mailing address phone:** (913) 963-6618
- **Mailing address fax:** (913) 353-4031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 207R00000X | Internal Medicine Physician | 04-23015 | KS | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/06/2017
- **Last updated:** 08/08/2024