Individual
STEPHEN FANOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11022 W 145TH PL, OVERLAND PARK, KS 66221-7511
(913) 952-4245
Mailing address
11022 W 145TH PL, OVERLAND PARK, KS 66221-7511
(913) 952-4245
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
KS
Other
Enumeration date
12/09/2025
Last updated
12/09/2025
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