Individual
CHARLES Q VIELHAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
8929 PARALLEL PKWY, KANSAS CITY, KS 66112-3607
(913) 596-4000
Mailing address
17810 W 83RD TER, LENEXA, KS 66219-8077
(816) 416-0541
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
53-79497-042
KS
363LF0000X
Family Nurse Practitioner
Primary
2020029105
MO
363LF0000X
Family Nurse Practitioner
53-79497-042
KS
Other
Enumeration date
09/30/2020
Last updated
02/25/2025
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