Individual
AMANDA OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4601 W 109TH ST STE 350, OVERLAND PARK, KS 66211-1349
(913) 451-8555
Mailing address
4601 W 109TH ST STE 350, OVERLAND PARK, KS 66211-1349
(913) 451-8555
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
77102
KS
Other
Enumeration date
05/04/2016
Last updated
10/18/2017
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