Organization
JOHNSON COUNTY INTEGRATIVE MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW NITSCH NP (OWNER)
(417) 827-1426
Entity
Organization
Contact information
Practice address
6355 W 110TH ST, OVERLAND PARK, KS 66211-1509
(913) 340-8778
Mailing address
6355 W 110TH ST, OVERLAND PARK, KS 66211-1509
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/11/2025
Last updated
07/11/2025
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