Individual
MS. WENDY LYNETTE AVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8121 NW EASTSIDE DR, KANSAS CITY, MO 64152-1666
(816) 741-2884
Mailing address
8121 NW EASTSIDE DR, KANSAS CITY, MO 64152-1666
(816) 741-2884
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
8001966
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8001966
—
MO
Enumeration date
04/03/2007
Last updated
07/08/2007
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