Individual
HEATHER KENWORTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6830 ANDERSON ST, SHAWNEE, KS 66226-3101
(816) 922-2750
(816) 922-4865
Mailing address
6830 ANDERSON ST, SHAWNEE, KS 66226-3101
(816) 922-2750
(816) 922-4865
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2451995122
KS
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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