Individual
BETSY JEAN BOEHNER CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7501 METCALF AVE, OVERLAND PARK, KS 66204-2927
(913) 642-6330
Mailing address
9708 W 49TH PL, MERRIAM, KS 66203-4802
(913) 909-6327
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-76523-021
KS
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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