Organization
RADIANCE FAMILY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI ELIZABETH DOCMAN APRN (APRN)
(913) 747-5374
Entity
Organization
Contact information
Practice address
1262 W AMITY ST, LOUISBURG, KS 66053-7815
(913) 747-5374
Mailing address
16143 FOSTER ST, OVERLAND PARK, KS 66085-8417
(913) 747-5374
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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