Individual
MS. MARIA KINTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN,BSA
Contact information
Practice address
12316 W 79TH TERR, LENEXA, KS 66215
(913) 416-3289
Mailing address
12316 W 79TH TERR, LENEXA, KS 66215
(913) 416-3289
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
24-41914-122IV
KS
171M00000X
Case Manager/Care Coordinator
—
—
364SH0200X
Home Health Clinical Nurse Specialist
24-41914-122IV
KS
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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