Individual
JANELLE L IRVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HMC
Contact information
Practice address
14405 W 118TH TER, OLATHE, KS 66062-6582
(913) 596-8303
(913) 538-6262
Mailing address
14405 W 118TH TER, OLATHE, KS 66062-6582
(913) 596-8303
(913) 538-6262
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
24-41360-111 IV
KS
171M00000X
Case Manager/Care Coordinator
2441360111IV
KS
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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