Individual
CANDICE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4240 BLUE RIDGE BLVD STE 410, KANSAS CITY, MO 64133-1706
(913) 547-3494
(833) 970-2362
Mailing address
833 ROCK CREEK DR, LANSING, KS 66043-7300
(913) 547-3494
(833) 970-2362
Taxonomy
Speciality
Code
Description
License number
State
163WE0900X
Enterostomal Therapy Registered Nurse
2009019121
MO
163WW0000X
Wound Care Registered Nurse
Primary
108610
KS
363LF0000X
Family Nurse Practitioner
2026014655
MO
363LF0000X
Family Nurse Practitioner
Primary
53-85399-111
KS
Other
Enumeration date
09/26/2024
Last updated
05/26/2026
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