Individual
JOSEPH ROBERT WILNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMLP
Contact information
Practice address
8629 BLUEJACKET ST, SUITE 100, LENEXA, KS 66214-1604
(913) 677-3553
(913) 677-3282
Mailing address
8629 BLUEJACKET ST, SUITE 100, LENEXA, KS 66214-1604
(913) 677-3553
(913) 677-3282
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2398
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201088660A
—
KS
Enumeration date
11/10/2012
Last updated
01/20/2015
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