Organization
PROVIDER PLUS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY RUSSALESI (CCO/ AO)
(484) 246-9499
Entity
Organization
Contact information
Practice address
9209 QUIVIRA RD, OVERLAND PARK, KS 66215-3905
(913) 492-4548
(913) 492-4273
Mailing address
555 E NORTH LN STE 5075, CONSHOHOCKEN, PA 19428-2490
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100005010B
—
KS
Enumeration date
11/20/2009
Last updated
10/15/2025
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