Individual
CAROLINE EISENHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4901 W 136TH ST, LEAWOOD, KS 66224-5926
(913) 393-9729
Mailing address
4901 W 136TH ST, LEAWOOD, KS 66224-5926
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13-126000-011
KS
363L00000X
Nurse Practitioner
Primary
53-80798-011
KS
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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