Organization
ABUNDANT CARE AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA POWELL (APRN)
(316) 587-5337
Entity
Organization
Contact information
Practice address
305 N MERIDIAN RD, NEWTON, KS 67114-5103
(316) 587-5337
Mailing address
107 BROOKSIDE DR, NEWTON, KS 67114-4609
(316) 587-5337
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200734460D
—
KS
Enumeration date
10/25/2022
Last updated
12/10/2022
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