Individual
MAKAYLA MEDLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11111 NALL AVE STE 103, OVERLAND PARK, KS 66211-1625
(913) 259-9696
Mailing address
701 BROADWAY BLVD UNIT 601, KANSAS CITY, MO 64105-2088
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13-144935-042
KS
363L00000X
Nurse Practitioner
Primary
2026015686
MO
Other
Enumeration date
03/27/2026
Last updated
04/22/2026
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