Organization
KANSAS APRN SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE A VICKERY APRN (OWNER)
(816) 500-0487
Entity
Organization
Contact information
Practice address
17985 S LONE ELM RD, OLATHE, KS 66062-9253
(816) 500-0487
Mailing address
17985 S LONE ELM RD, OLATHE, KS 66062-9253
(816) 500-0487
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13-87373-111
KS
Other
Enumeration date
12/06/2013
Last updated
12/06/2013
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