Individual
MRS. MARY POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, NP-C
Contact information
Practice address
11217 LAKEVIEW AVE, LENEXA, KS 66219-1399
(913) 322-7401
(913) 322-7410
Mailing address
11217 LAKEVIEW AVE, KANSAS CITY, KS 64131-4731
(913) 332-7401
(913) 322-7410
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
76413
KS
363LF0000X
Family Nurse Practitioner
2014000954
MO
363LF0000X
Family Nurse Practitioner
53-76412-031
KS
Other
Enumeration date
01/14/2014
Last updated
05/18/2018
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