Individual
CAREY KATHLEEN WENNERSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1337 S FOUNTAIN DR, OLATHE, KS 66061-7205
(913) 397-7800
Mailing address
PO BOX 15211, LENEXA, KS 66285-5211
(913) 397-7800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2010033122
MO
Other
Enumeration date
05/30/2008
Last updated
07/03/2011
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