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Organization

OPH, LLC

Active
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Organization

OPH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NIKKI GENTRY (REVENUE CYCLE MANAGER)
(913) 322-2400
Entity
Organization

Contact information

Practice address
21277 W 153RD ST, OLATHE, KS 66061-5424
(913) 890-7468
(913) 529-2900
Mailing address
21350 W 153RD ST, OLATHE, KS 66061-5413
(913) 322-4900

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
103TC0700X
Clinical Psychologist
207Q00000X
Family Medicine Physician
2084P0800X
Psychiatry Physician
2084P0804X
Child & Adolescent Psychiatry Physician
283Q00000X
Psychiatric Hospital
Primary
363L00000X
Nurse Practitioner
363LA2200X
Adult Health Nurse Practitioner
363LF0000X
Family Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
10/29/2024
Last updated
11/05/2024
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